摘要
目的：探讨对严重面颈部缺损的修复，在局部功能恢复的同时，如何使其外观与正常相近似，才能让患者和社会予以接受。方法：依据缺损创面的部位、形状、缺损面积的大小、受区和供区色泽反差等，选择吻合血管的皮瓣或真皮下血管网皮瓣、传统皮瓣或带蒂的真皮下血管网皮瓣、岛状皮瓣和扩张后皮瓣转移，修复面颈部各种不同的皮肤软组织缺损。结果：对鼻、眼睑、眉毛的再造效果较佳；对颏颈Ⅲ－Ⅳ度粘连者，被修复区的皮肤柔软，颜色与周围皮肤色泽相近；对肿瘤切除或深度烧伤创面修复，皮瓣外观平整，不显臃肿。结论：应用外科皮瓣在不同部位进行修复，能取得良好的临床效果。
Objective:In repair of face and neck with severe defect,while the function recovered,it was more important that the apperance apporach to the usual Then the patient and people might accept it Methods:According to the wound site,configuration,size and the different colour of donor site and recipient site several kinds flap,such as,the anastomosis flap,the anastomosisflap with subdermal vascular network,the conventional flap,the pedical flap with subdermal vascular network,the island flap,the expension flap,were transplanted to repair the face and neck with different deepth wounds Results:The result was perfect,particularly,when used to reconstruct nose,eyelid,eyebrow Howere,while the third or forth degree adhesion of neck mentale scar excised,the mentalis fascia flap was turn up and tur over 180 degree to extend the protuderantia mentalis and to deep the conor of mentale neck Then the thin flap covered on the wound The color approached to the around and the skin was soft in the recipitent site But in repair of the excised tumor wound of third degree burn wound,thick flap with rich tissue was used to fill great defect with perfect appearance Conclusions:The thin flap or the thick flap could get the same result in different wounds
出处
《中华显微外科杂志》
CSCD
北大核心
1997年第1期22-24,共3页
Chinese Journal of Microsurgery
