Huang Na, Wen Huicai, Fu Jianhua, Huang Jinjun, Liao Huaiwei, Tu Jun, Lu Yingjie, Zhu Yuan, Kuai Quan
Department of Plastic Surgery, the First Affiliated Hospital of Nanchang University, Nanchang Jiangxi, 330006, P.R.China.
Department of Plastic Surgery, the First Affiliated Hospital of Nanchang University, Nanchang Jiangxi, 330006,
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019 Feb 15;33(2):207-211. doi: 10.7507/1002-1892.201810020.
To explore the effectiveness of modified rhomboid flap for repairing facial skin and soft tissue defect.
Between January 2016 and May 2018, 23 patients with facial skin and soft defect were repaired by the modified rhomboid flap. There were 10 males and 13 females with the median age of 27 years (range, 11-72 years). The primary tumor included pigmented nevus in 18 cases, basal cell carcinoma in 4 cases, and squamous cell carcinoma in 1 case. The defect location was nose in 8 cases, cheek in 4 cases, malar in 6 cases, forehead in 2 cases, and upper lip in 3 cases. The defect ranged from 0.8 cm×0.8 cm to 3.9 cm×3.9 cm. According to the location and size of facial tumors, the resection area of square lesions was designed. According to the mobility of surrounding tissues and the direction of dermatoglyphic lines, the rhomboid flaps with an angle of 45-60° was designed to repair the defect by tension-free rotation.
All the flaps survived and the incision healed by first intension. All patients were followed up 3-15 months (mean, 7.3 months). During follow-up, no tumor reoccurred; the color and texture of the flaps were similar with surrounding tissue. There was no obvious scar hyperplasia, nor traction of adjacent normal tissues, and patients were satisfied with the appearance.
The application of modified rhomboid flaps in repairing facial skin and soft tissue defects caused by resection of round facial tumor has the advantages of flexible design, simple manipulation, and less trauma.
探讨改良菱形皮瓣修复面部皮肤软组织缺损的效果。
2016年1月至2018年5月，采用改良菱形皮瓣修复23例面部皮肤软组织缺损患者。其中男性10例，女性13例，中位年龄27岁（范围11 - 72岁）。原发肿瘤包括色素痣18例、基底细胞癌4例、鳞状细胞癌1例。缺损部位：鼻8例，颊4例，颧6例，额2例，上唇3例。缺损范围为0.8 cm×0.8 cm至3.9 cm×3.9 cm。根据面部肿瘤的位置和大小设计方形病变切除区域，根据周围组织的活动度及皮纹方向，设计角度为45 - 60°的菱形皮瓣，经无张力旋转修复缺损。
所有皮瓣均成活，切口一期愈合。所有患者随访3 - 15个月（平均7.3个月）。随访期间无肿瘤复发；皮瓣颜色、质地与周围组织相近，无明显瘢痕增生，未牵拉相邻正常组织，患者对外观满意。
改良菱形皮瓣应用于修复面部圆形肿瘤切除后所致皮肤软组织缺损，具有设计灵活、操作简便、创伤小等优点。
