Galli A, Berrino P, Santi P
Department of Plastic Surgery, National Institute for Cancer Research, Genova, Italy.
Aesthetic Plast Surg. 1991 Summer;15(3):245-50. doi: 10.1007/BF02273867.
Twenty patients underwent transposition of a vertical forehead flap to correct defects of the middle third of the face. The treatment and results are reported and evaluated. Based of the width of the secondary forehead defect, the best technique of direct closure was determined. Simpler cases were resolved by careful application of the basic techniques of plastic surgery--undermining and scalp flap rotation. When a forehead defect larger than 4.5 cm was expected, previous forehead skin expansion seemed advisable. A primary, tension-free suture of the forehead defect was achieved in every case, thus significantly improving the aesthetic outcome of the operation.
20例患者接受了垂直额部皮瓣转移术以矫正面部中三分之一的缺损。报告并评估了治疗方法及结果。根据继发额部缺损的宽度，确定了直接闭合的最佳技术。较简单的病例通过仔细应用整形外科的基本技术——潜行分离和头皮瓣旋转来解决。当预计额部缺损大于4.5 cm时，术前进行额部皮肤扩张似乎是可取的。每例均实现了额部缺损的一期无张力缝合，从而显著改善了手术的美学效果。
