Reckley Lauren K, Peck Jessica J, Roofe Scottie B
Otolaryngology-Head and Neck Surgery, Tripler Army Medical Center, Honolulu, HI, USA.
Facial Plastic and Microvascular Reconstructive Surgery, Otolaryngology-Head and Neck Surgery, Dwight Eisenhower Army Medical Center, Fort Gordon, GA, USA.
Facial Plast Surg Clin North Am. 2017 Aug;25(3):337-346. doi: 10.1016/j.fsc.2017.03.006.
Paramedian forehead and melolabial flaps are the most common examples of interpolated flaps used by facial plastic surgeons and are excellent options for reconstruction of the midface after Mohs surgery. They provide superior tissue match in terms of thickness, texture, and color, while leaving minimal defects at the tissue donor sites. The main advantage of interpolated flaps is the robust blood supply, which can be either axial of randomly based, and the maintenance of the integrity of facial landmarks. The main disadvantage is the frequent need for a multistage procedure, which eliminates some patients from consideration.
旁正中前额皮瓣和鼻唇沟皮瓣是面部整形外科医生使用的最常见的插入皮瓣示例,是Mohs手术后中面部重建的极佳选择。它们在厚度、质地和颜色方面提供了出色的组织匹配,同时在组织供区留下最小的缺损。插入皮瓣的主要优点是血供丰富,其血供可以是轴型或随机型,并且能保持面部标志的完整性。主要缺点是经常需要多阶段手术,这使得一些患者不适合采用该方法。