胫后动脉穿支皮瓣修复头面部软组织缺损的临床研究

Clinical study on repairing head and face soft tissue defects with posterior tibial artery perforator flap

目的探讨采用游离胫后动脉穿支皮瓣修复头面部组织缺损的方法及临床效果。方法自2018年6月至2022年8月,武汉大学中南医院整形美容科对12例头面部软组织缺损的患者采用胫后动脉穿支皮瓣(posterior tibial artery perforator flap,PTAPF)修复头面部皮肤、皮下组织和肌肉组织,并对术后外形、并发症和皮瓣成活情况进行评价。结果12例患者术后获随访6~12个月。皮瓣质地、形状良好,与面部皮肤色差较小,皮瓣成活率较高。所有患者术后效果均满意。结论胫后动脉穿支皮瓣与头面部具有相似的组织厚度、质地和颜色,且供区损伤较少,是修复头部皮肤缺损的理想方法。

Objective To explore the method and clinical effect of using free posterior tibial artery perforator flaps on the head and face soft tissue defects.Methods From June 2018 to August 2022,12 patients with head and face sofe tissue defects were treated with Posterior Tibial Artery Perforator Flap(PTAPF)to repair the head and face skin,subcutaneous tissue,and muscle tissue,and evaluation of the postoperative appearance,complications,and flap survival rate.Results Postoperatively,all 12 patients were followed up for a period of 6 to 12 months.The texture and shape of the flap were good,the chromatic aberration with the facial skin was small,and the survival rate of the flap was high.All patients were satisfied with the results.Conclusion The posterior tibial artery perforator flap has similar tissue thickness,texture,and color to the head and face,and less damage to the donor site.It is an ideal method for repairing head and face soft tissue defects.