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窄蒂皮瓣肿瘤切除术后肿胀麻醉修复面部软组织缺损

Repairing Facial Soft Tissue Defects by Swelling Anesthesia after Tumor Resection with Narrow Pedicle Flaps.

作者信息

Huang Chun-Hui, Qian Han-Gen, Zhao Xiao-Yu, Shen Guo-Liang, Lin Wei, Qi Qiang

机构信息

Department of Burn and Plastic Surgery, The First Affiliated Hospital of Suzhou University, SuZhou, China E-mail :

出版信息

Asian Pac J Cancer Prev. 2015;16(15):6761-3. doi: 10.7314/apjcp.2015.16.15.6761.

Abstract

AIMS

To investigate the role of swelling anesthesia in repairing facial soft tissue defects after tumor resection and temporal superficial artery frontal branch of narrow pedicle flap.

MATERIALS AND METHODS

From January 2008 to June 2008, 16 patients from Department of Ophthalmology with eye or eyelid tumors after eyeball removal of eye and part resection of surrounding soft tissue, undergoing postoperative swelling anesthesia with superficial temporal artery flap repair to prevent facial soft tissue defect formation and bone exposure, were recruited.

RESULTS

In all 16 patients facial soft tissue defect repair had good effects, with limited bleeding, and short operation times. Seven days after surgery, all flaps were in good repair. On postoperative follow-up after 3 months, flaps showed a similar appearance as with facial tissue.

CONCLUSIONS

Swelling anesthesia for superficial temporoparietal artery frontal branch of narrow pedicle flap to repair soft tissue defect after facial tumor resection is feasible, and is linked with good analgesic effects, high postoperative survival of skin flaps, and good cosmetic effects.

摘要

目的

探讨肿胀麻醉在面部肿瘤切除术后修复面部软组织缺损及颞浅动脉额支窄蒂皮瓣中的作用。

材料与方法

选取2008年1月至2008年6月,眼科16例因眼球摘除及周围软组织部分切除术后出现眼部或眼睑肿瘤的患者,采用颞浅动脉皮瓣修复并进行术后肿胀麻醉,以防止面部软组织缺损形成及骨外露。

结果

16例患者面部软组织缺损修复效果良好,出血少,手术时间短。术后7天,所有皮瓣修复良好。术后3个月随访,皮瓣外观与面部组织相似。

结论

肿胀麻醉用于颞顶浅动脉额支窄蒂皮瓣修复面部肿瘤切除术后软组织缺损是可行的,且具有良好的镇痛效果、皮瓣术后高成活率及良好的美容效果。

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