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半额瓣在额部重建中的应用。

Use of the hemifrontal flap in reconstruction of the forehead.

作者信息

Papadopoulos Othon, Karypidis Dimitrios, Chrisostomidis Chrisostomos, Konofaos Petros, Champsas Grigorios, Kazdaglis George

机构信息

Department of Plastic and Reconstructive Surgery, A.Sygros Hospital 5 I.Dragoumi Str, Athens University, Medical School, 16121 Athens, Greece.

出版信息

Br J Oral Maxillofac Surg. 2008 Oct;46(7):537-41. doi: 10.1016/j.bjoms.2008.03.011. Epub 2008 Apr 23.

DOI:10.1016/j.bjoms.2008.03.011
PMID:18436356
Abstract

The hemifrontal flap is an efficient way of reconstructing large unilateral defects that involve the hemiforehead. Six patients had their foreheads reconstructed after the excision of neglected tumours in the frontal region. The flap was designed to provide adequate repair of large defects including the periosteum. The width of the flap above the eyebrow is almost equal to the vertical height of the forehead in the midline. Efficient reconstruction of the primary defect including surface and depth was achieved in all patients. There were no complications with the viability of the flap. The hairline and the line of the eyebrows were preserved in their original sites, with no alteration in the aesthetic landmarks of the forehead in 3 cases, where there was no invasion of tumour.

摘要

半额瓣是修复累及半侧前额的大型单侧缺损的有效方法。6例患者在切除额部被忽视的肿瘤后进行了前额重建。该皮瓣的设计旨在对包括骨膜在内的大型缺损进行充分修复。眉上方皮瓣的宽度几乎与前额中线处的垂直高度相等。所有患者均实现了对包括表面和深度在内的原发缺损的有效重建。皮瓣存活未出现并发症。3例肿瘤未侵犯的患者,发际线和眉线保留在原位,前额美学标志未改变。

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