鼻唇沟V-Y推进术用于闭合面中部缺损。
Nasolabial V-Y advancement for closure of the midface defects.
作者信息
Yildirim S, Aköz T, Avci G
机构信息
Department of Plastic and Reconstructive Surgery, Dr. Lütfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey.
出版信息
Dermatol Surg. 2001 Jul;27(7):656-8; discussion 658-60. doi: 10.1046/j.1524-4725.2001.00346.x.
BACKGROUND
V-Y subcutaneous advancement flaps receive an excellent blood supply from subcutaneous tissue and are ideal for use on the face. Also it is advantageous cosmetically compared to other local flaps.
OBJECTIVE
Nasolabial V-Y advancement flaps are very useful in closing defects of the midface region after tumor resection.
METHODS
Our experience with nasolabial V-Y flaps in 22 patients is reported. The average defect size was 2.4 cm x 3.2 cm.
RESULTS
Minor flap necrosis occurred in one patient and simple lower eyelid ectropion in another.
CONCLUSION
Nasolabial V-Y advancement flap is a simple and satisfactory alternative for closing relatively large defects in the midface when compared with other methods such as skin graft and rotation or transposition flaps. It is easy to design, reliable, and offers good cosmetic results.
背景
V-Y皮下推进皮瓣从皮下组织获得良好的血液供应，非常适合用于面部。而且与其他局部皮瓣相比，在美容方面也具有优势。
目的
鼻唇V-Y推进皮瓣在肿瘤切除后闭合中面部区域缺损方面非常有用。
方法
报告了我们对22例患者使用鼻唇V-Y皮瓣的经验。平均缺损大小为2.4厘米×3.2厘米。
结果
1例患者出现轻微皮瓣坏死，另1例出现单纯下睑外翻。
结论
与皮肤移植、旋转或移位皮瓣等其他方法相比，鼻唇V-Y推进皮瓣是闭合中面部相对较大缺损的一种简单且令人满意的替代方法。它易于设计，可靠，且美容效果良好。
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