Dempsey Robert F, Chelius Daniel C, Pederson William C, Maricevich Marco, Dimachkieh Amy L, Kupferman Michael E, Weiner Howard L, Hollier Larry H, Buchanan Edward P
Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, 6701 Fannin Street, CC 610.00, Houston, TX 77030, USA.
Pediatric Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, 6701 Fannin Street, Suite 540, Houston, TX 77030, USA.
Clin Plast Surg. 2019 Apr;46(2):261-273. doi: 10.1016/j.cps.2018.11.011. Epub 2019 Jan 30.
Reconstruction of defects of the head and face in the pediatric population requires special consideration for future growth, and at times temporization in anticipation for skeletal maturity followed by subsequent reoperation at an appropriate age. Additional challenges include more limited donor sites, smaller anastomoses, and unpredictable postoperative compliance compared with their adult counterparts. Nonetheless, successful composite bony and soft tissue, and isolated soft tissue defects in children are safely reconstructed using existing local tissue and microsurgical techniques.
小儿头面部缺损的重建需要特别考虑未来的生长情况，有时需要暂时处理，等待骨骼成熟，然后在适当年龄进行再次手术。与成人相比，额外的挑战包括供区更有限、吻合口更小以及术后依从性不可预测。尽管如此，利用现有的局部组织和显微外科技术，可以安全地重建儿童成功的复合骨和软组织以及孤立的软组织缺损。
