Gouveia Miguel Pinto de, Gouveia Ana Isabel, Brinca Ana, Vieira Ricardo
Department of Dermatology at Centro Hospitalar e Universitário de Coimbra (CHUC) - Coimbra, Portugal.
Department of Dermatology at Centro Hospitalar Lisboa Norte, EPE (CHLN) - Lisboa, Portugal.
An Bras Dermatol. 2017;92(5 Suppl 1):151-153. doi: 10.1590/abd1806-4841.20175565.
The reconstruction of facial surgical defects is usually challenging for the dermatologic surgeon. Three different cases of facial defects in which tunneled island flaps were used are reported. In 2 cases, wide defects involving the nasal dorsum and ala were repaired using a nasolabial island flap tunneled through the lateral side of the nose. A tunneled island glabellar flap was used for medial canthus reconstruction in the third case. Despite complex pedicle dissection and frequent trapdoor deformation, tunneled island flaps allow reconstruction of wide defects in a single-staged procedure, camouflaging the scar of the donor area in boundaries of cosmetic units and preserving the facial central symmetry.
面部手术缺损的重建通常对皮肤科外科医生来说具有挑战性。本文报告了3例使用隧道岛状皮瓣修复面部缺损的病例。其中2例涉及鼻背和鼻翼的广泛缺损，采用经鼻外侧隧道的鼻唇岛状皮瓣进行修复。第3例使用隧道岛状眉间皮瓣修复内眦。尽管蒂部解剖复杂且频繁出现活板门变形，但隧道岛状皮瓣可在一期手术中修复广泛缺损，将供区瘢痕隐匿于美容单元边界内，并保持面部中心对称。
