[双蒂扩张皮瓣修复面下部及颈前部]
[Reconstruction of the lower face and the anterior neck with a bipedicled expanded flap].
作者信息
Ma Guie, Wang Shili, Zhang Xuhui, Wang Qian, Hou Dianju, Luan Jie, Fan Jincai
机构信息
Plastic Surgery Hospital of Chinese Academy of Medical Sciences, Beijing 100041, China.
出版信息
Zhonghua Zheng Xing Wai Ke Za Zhi. 2002 Sep;18(5):276-7.
OBJECTIVE
To explain a method for lower face and anterior neck reconstruction.
METHODS
Tissue expanders were implanted subcutaneously beside the defect. When the skin was properly expanded, the bipedicled expanded skin flap was created and transferred to the lower face and the anterior neck. If the defect can not be repaired by one stage, the expanded skin was re-expanded for the rest.
RESULTS
11 patients have been treated with this method since 1990. All flaps survived and all the defects have been successfully repaired with satisfactory results.
CONCLUSION
The bipedicled expanded flap, which provided good blood supply, improved the survival rate of the flap and reduced the incision scar on the face, is an effective surgical procedure.
目的
阐述一种下面部及颈前部重建的方法。
方法
在缺损旁皮下植入组织扩张器。当皮肤得到适当扩张后，制作双蒂扩张皮瓣并转移至下面部及颈前部。若一期无法修复缺损，则对扩张后的皮肤进行再次扩张以修复剩余缺损。
结果
自1990年起，11例患者采用此方法治疗。所有皮瓣均存活，所有缺损均成功修复，效果满意。
结论
双蒂扩张皮瓣血供良好，提高了皮瓣成活率，减少了面部切口瘢痕，是一种有效的手术方法。
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