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本文引用的文献

1
Effective method for reconstruction of remaining lower lip vermilion defect after a mental V-Y advancement flap.颏部V-Y推进皮瓣术后下唇唇红剩余缺损的有效修复方法
Arch Craniofac Surg. 2019 Apr;20(2):76-83. doi: 10.7181/acfs.2018.01984. Epub 2019 Apr 20.
2
Lower Eyelid Reconstruction Using a Nasolabial, Perforator-based V-Y Advancement Flap: Expanding the Utility of Facial Perforator Flaps.使用基于鼻唇穿支的V-Y推进皮瓣进行下睑重建：扩展面部穿支皮瓣的应用范围
Ann Plast Surg. 2019 Jan;82(1):46-52. doi: 10.1097/SAP.0000000000001576.
3
[Recontruction of facial aesthetic subunit with kite flap after resection of benign tumor at supraorbital ridge].[眶上嵴良性肿瘤切除术后应用风筝皮瓣对面部美学亚单位进行重建]
Zhonghua Zheng Xing Wai Ke Za Zhi. 2017 Jan;33(1):12-5.
4
Single-Stage Reconstruction of Eyebrow Defect Using a V-Y Advancement Pedicle Flap Based on the Orbicularis Oculi Muscle.基于眼轮匝肌的V-Y推进蒂皮瓣单阶段修复眉缺损
J Craniofac Surg. 2017 Sep;28(6):e521-e522. doi: 10.1097/SCS.0000000000003727.
5
Reconstruction of Cutaneous Nasal Defects.鼻皮肤缺损的重建
Facial Plast Surg Clin North Am. 2017 Aug;25(3):409-426. doi: 10.1016/j.fsc.2017.03.011. Epub 2017 May 30.
6
Flap Basics II: Advancement Flaps.
Facial Plast Surg Clin North Am. 2017 Aug;25(3):323-335. doi: 10.1016/j.fsc.2017.03.005.
7
V-Y Advancement Flap for Defects of the Lid-Cheek Junction.用于睑颊交界处缺损的V-Y推进皮瓣
Facial Plast Surg. 2017 Jun;33(3):329-333. doi: 10.1055/s-0037-1602144. Epub 2017 Jun 1.
8
[Postoperatively repair methods of head and facial skin malignancies in the advanced ages].[高龄头面部皮肤恶性肿瘤术后修复方法]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Sep;29(17):1514-6.
9
Flexible Curved V-Y Subcutaneous Flap for Facial Skin Defects.用于面部皮肤缺损的灵活弯曲V-Y皮下皮瓣
Plast Reconstr Surg Glob Open. 2015 Oct 9;3(10):e531. doi: 10.1097/GOX.0000000000000499. eCollection 2015 Oct.
10
An "oxhorn"-shaped V-Y advancement flap unilaterally pedicled on a nasal superficial musculoaponeurotic system for nasal reconstruction.一种以鼻表浅肌肉腱膜系统为单侧蒂的“牛角”形V-Y推进皮瓣用于鼻再造。
J Plast Reconstr Aesthet Surg. 2015 Nov;68(11):1516-21. doi: 10.1016/j.bjps.2015.07.016. Epub 2015 Jul 26.

改良V-Y推进皮瓣在面部缺损修复中的应用

[Application of modified V-Y advancement flap for reconstruction of facial defect].

作者信息

Xu Xinjiang, Tang Mingming, Han Liang, Jiang Bin

机构信息

Department of Head and Neck Surgery，Cancer Hospital Affiliated to Nantong University，Nantong，226361，China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Jan 5;35(1):44-48. doi: 10.13201/j.issn.2096-7993.2021.01.011.

DOI:10.13201/j.issn.2096-7993.2021.01.011
PMID:33540972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10128537/
Abstract

To investigate the clinical effect of modified V-Y advancement flap for reconstruction of facial skin defect. Thirty-eight patients with facial skin tumors underwent individual tumor resection according to pathological type and lesion depth. Based on the defect site and size, appropriate V-Y advancement flap was designed to reconstruct the skin defect in one stage. There were 9 cases of classic subcutaneous tissue pedicle V-Y advancement flap, 24 cases of modified subcutaneous tissue pedicle V-Y advancement flap and 5 cases of perforated V-Y advancement flap in our study. Among the 38 patients, 34 cases had primary healing. Two cases developed necrosis at the edge of the flap and healed after debridement. Local infection occurred in 2 cases, which healed after short-term dressing change. Postoperative mild eyelid ectropion occurred in 2 cases and oral horn displacement in 1 case. The patients were followed up for 6-36 months postoperatively, and the function and appearance recovered well. One case had local recurrence and 3 cases had parotid lymph node metastasis, which were removed again and supplemented with radiotherapy. The improved design of V-Y advancement flap can enlarge the scope of facial defect reconstruction, and achieve good appearance and function.

摘要

探讨改良V-Y推进皮瓣修复面部皮肤缺损的临床效果。38例面部皮肤肿瘤患者根据病理类型及病变深度行个体化肿瘤切除。根据缺损部位及大小，设计合适的V-Y推进皮瓣一期修复皮肤缺损。本研究中经典皮下组织蒂V-Y推进皮瓣9例，改良皮下组织蒂V-Y推进皮瓣24例，穿支V-Y推进皮瓣5例。38例患者中，34例一期愈合。2例皮瓣边缘出现坏死，清创后愈合。2例发生局部感染，经短期换药后愈合。术后2例出现轻度睑外翻，1例口角移位。术后随访6～36个月，功能及外形恢复良好。1例局部复发，3例发生腮腺淋巴结转移，再次手术切除并辅以放疗。改良V-Y推进皮瓣设计可扩大面部缺损修复范围，获得良好的外形及功能。