Mashkevich Grigoriy, Patel Anand D, Urken Mark L
Department of Otolaryngology, Head and Neck Surgery, New York Eye and Ear Infirmary, New York, New York 10003, USA.
Facial Plast Surg. 2008 Jan;24(1):65-8. doi: 10.1055/s-2007-1021890.
Microvascular free tissue transfer has become a popular reconstructive option for a wide range of complex head and neck defects. Although highly effective in achieving wound closure, this technique frequently introduces skin paddles with inherent differences in thickness, color, and texture. In resurfacing of cutaneous facial defects, such disparity often leads to inferior aesthetic results. For patients, poor appearance following head and neck reconstruction can become a significant source of distress and add additional burden to their recovery. This article describes several options available in the postoperative setting to improve the appearance of transferred skin paddles. Regional tissue rearrangement with the submental and posterior scalping flaps is discussed in detail.
微血管游离组织移植已成为修复各种复杂头颈部缺损的常用方法。尽管该技术在实现伤口闭合方面非常有效，但它经常会引入厚度、颜色和质地存在固有差异的皮瓣。在修复面部皮肤缺损时，这种差异往往会导致美学效果不佳。对于患者来说，头颈部重建后的外观不佳可能成为困扰的重要来源，并给他们的康复增加额外负担。本文介绍了术后改善移植皮瓣外观的几种方法。详细讨论了使用颏下皮瓣和头皮后皮瓣进行区域组织重排。
