游离面部穿支皮瓣——治疗中等大小面部缺损的一种安全的重建选择。
Freestyle facial perforator flaps-a safe reconstructive option for moderate-sized facial defects.
作者信息
Gunnarsson Gudjon Leifur, Jackson Ian Thomas, Thomsen Jorn Bo
机构信息
Department of Plastic Surgery, Telemark Hospital, Skien, Norway.
Ian Jackson Craniofacial & Cleft Palate Clinic, Beaumont Children's Hospital, Royal Oak, MI USA.
出版信息
Eur J Plast Surg. 2014;37(6):315-318. doi: 10.1007/s00238-014-0936-6. Epub 2014 Mar 5.
BACKGROUND
Perforators are a constant anatomical finding in the facial area and any known flap can in theory be based on the first perforator located at the flap rotation axis.
METHODS
A case series of single stage reconstruction of moderate sized facial defects using 21 perforator based local flaps in 19 patients from 2008-2013.
RESULTS
A sufficient perforator was located in every case and the flap rotated along its axis (76 %) or advanced (24 %). Reconstruction was successfully achieved with a high self reported patient satisfaction. Two minor complications occurred early on in the series and corrective procedures were performed in four patients.
CONCLUSIONS
The random facial perforator flap seems to be a good and reliable option for the reconstruction of facial subunits, especially the periorbital, nasal and periocular area with a minimal morbidity and a pleasing result in a one stage outpatient setting. Level of Evidence: Level IV, therapeutic study.
背景
穿支血管是面部恒定的解剖学特征，理论上任何已知皮瓣都可以基于位于皮瓣旋转轴的第一支穿支血管构建。
方法
对2008年至2013年间19例患者采用21个基于穿支血管的局部皮瓣进行中型面部缺损一期重建的病例系列研究。
结果
每例均找到足够的穿支血管，皮瓣沿其轴旋转（76%）或推进（24%）。重建成功，患者自我报告满意度高。该系列早期出现2例轻微并发症，4例患者接受了矫正手术。
结论
随意型面部穿支皮瓣似乎是面部亚单位重建的一种良好且可靠的选择，特别是眶周、鼻和眼周区域，在一期门诊手术中发病率极低且效果良好。证据级别：IV级，治疗性研究。
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