颞浅动脉复合穿支皮瓣修复颞部皮肤软组织缺损及重建鬓角
[Superficial temporal artery composite perforator flap in repair of temporal skin and soft tissue defects and reconstruction of sideburns].
作者信息
Liu Meijun, Nie Kaiyu, Hu Peng, Wei Zairong, Wang Dali, Zeng Xueqin
机构信息
Department of Burn and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi Guizhou, 563003, P.R.China.
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2020 Apr 15;34(4):493-496. doi: 10.7507/1002-1892.201909046.
OBJECTIVE
To investigate the feasibility and effectiveness of repairing temporal skin and soft tissue defects and reconstructing sideburns with superficial temporal artery composite perforator flap.
METHODS
Between January 2018 and January 2019, 12 patients with temporal tumors were treated. There were 5 males and 7 females with an average age of 51 years (range, 37-68 years). There were 8 cases of basal cell carcinoma and 4 cases of squamous cell carcinoma. The disease duration ranged from 3 months to 4 years (mean, 13 months). The area of residual wound after tumor resection was 3.8 cm×2.5 cm-5.2 cm×3.5 cm. The superficial temporal artery composite perforator flap was designed. The hairy superficial temporal artery frontal branch perforator flap was used to repair the hair growing area and reconstruct the sideburn; and the area of the flap was 2.5 cm×1.0 cm-4.2 cm×3.0 cm. And the superficial temporal artery descending branch perforator flap without hair was used to repair the hair-free area; and the area of the flap was 2.5 cm×1.5 cm-7.5 cm×4.0 cm. The donor sites were sutured directly.
RESULTS
All flaps survived, and the incisions at the donor and recipient sites healed by first intention. Eleven patients were followed up 6-12 months (mean, 9 months). The incisions were not obvious. The flaps were flat and the color of the flaps were not significantly different from the surrounding skin. The reconstructed sideburns were consistent with the healthy side and the facial appearance was satisfactory. No local tumor recurred during follow-up.
CONCLUSION
For the temporal skin and soft tissue defects involving the sideburn, the superficial temporal artery composite perforator flap can be used to repair subunits with different aesthetic characteristics in sections and has the advantages of operating simply, obtaining satisfied facial appearance, and little effect on the donor site.
目的
探讨颞浅动脉复合穿支皮瓣修复颞部皮肤软组织缺损并重建鬓角的可行性及有效性。
方法
2018年1月至2019年1月，对12例颞部肿瘤患者进行治疗。其中男性5例，女性7例，平均年龄51岁（范围37 - 68岁）。基底细胞癌8例，鳞状细胞癌4例。病程3个月至4年（平均13个月）。肿瘤切除后残留创面面积为3.8 cm×2.5 cm - 5.2 cm×3.5 cm。设计颞浅动脉复合穿支皮瓣。采用含毛发的颞浅动脉额支穿支皮瓣修复有毛发生长区域并重建鬓角；皮瓣面积为2.5 cm×1.0 cm - 4.2 cm×3.0 cm。采用不含毛发的颞浅动脉降支穿支皮瓣修复无毛区域；皮瓣面积为2.5 cm×1.5 cm - 7.5 cm×4.0 cm。供区直接缝合。
结果
所有皮瓣均成活，供区及受区切口均一期愈合。11例患者获6 - 12个月（平均9个月）随访。切口不明显。皮瓣平整，皮瓣颜色与周围皮肤无明显差异。重建的鬓角与健侧一致，面部外观满意。随访期间无局部肿瘤复发。
结论
对于累及鬓角的颞部皮肤软组织缺损，颞浅动脉复合穿支皮瓣可分段修复具有不同美学特征的亚单位，具有操作简单、面部外观满意、对供区影响小等优点。
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