摘要
目的 探讨应用颞浅筋膜瓣转移加游离植皮的方法Ⅰ期修复面部较大的皮肤软组织缺损伴骨外露创面的临床效果.方法 自1998年7月至2010年3月,对15例因外伤、肿瘤术后造成的面部较大的皮肤软组织缺损伴骨外露患者,采用带蒂颞浅筋膜瓣转移加游离移植皮片的方法进行Ⅰ期修复.皮肤缺损面积为2.5 cm×3.5 cm～10.0 cm×12.0 cm,修复皮瓣面积为3.0cm×4.0 cm～10.0 cm ×12.0 cm.结果 15例患者中除1例患者移植的皮片部分坏死,经换药后愈合外,余者转移的筋膜瓣及皮片成活良好,创面均Ⅰ期愈合.术后随访12例患者6个月至2年,疗效满意.结论 颞浅筋膜瓣含有知名血管,血供丰富,覆盖面部骨外露安全可靠,结合游离植皮,可Ⅰ期修复面部伴骨外露的皮肤软组织缺损.
Objective To explore the effect of superficial temporal fascia flap and free skin graft on repairing large soft tissue defects with bony exposures primarily. Methods From July 1998 to March 2010, 15 patients suffered from large soft tissue defects with bony exposures, which were caused by trauma or tumorectomy, were repaired primarily with superficial temporal fascia flap pedicled with superficial temporal vessel and free skin graft. Area of soft tissue defects ranged from 2.5 cm × 3.5 cm to 10.0 cm × 12.0 cm and area of repairing flap was 3.0 cm ×4.0 cm - 10.0 cm× 12.0 cm. Results All transferred flaps from 15 patients survived and healed primarily except for one case with part necrosis which healed by changing dressings. After 6 - 24 months following up, all patients were satisfied with their results. Conclusion Superficial temporal fascia flap has plenty blood, so it is rehable for repairing large facial soft tissue defects with bony exposures primarily.
出处
《中国美容整形外科杂志》
CAS
2010年第10期611-613,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
颞浅筋膜瓣
面部
皮肤软组织缺损
骨外露
Ⅰ期修复
Superficial temporal fascia flap
Face
Skin soft tissue defect
Bony exposure
Primary repair
