Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Chonnam National University Hospital, Gwangju, Republic of Korea.
J Craniofac Surg. 2022 Jun 1;33(4):e346-e347. doi: 10.1097/SCS.0000000000008506. Epub 2022 Mar 3.
Microsurgical replantation is considered the best method to treat avulsion or amputation injuries of unique head parts, including the scalp, eyelid, nose, ear, lip, and tongue. However, there is currently no report on microsurgical replantation of substi-tutable facial tissues in the literature. This report presents a patient with avulsed facial composite tissue composed of the skin and subcutaneous layers treated by microsurgical replantation. The present case shows that microsurgical replantation of small facial composite tissues is feasible. The authors suggest that the indication spectrum for microsurgical replantation should be expanded beyond current clinical practice.
显微外科再植被认为是治疗独特头部部位(包括头皮、眼睑、鼻子、耳朵、嘴唇和舌头)撕脱伤或离断伤的最佳方法。然而,目前文献中尚无关于替代面部组织的显微外科再植的报道。本报告介绍了一例经显微外科再植治疗的撕脱性面部复合组织(包括皮肤和皮下组织层)患者。本病例表明,小面积面部复合组织的显微外科再植是可行的。作者建议将显微外科再植的适应证范围扩大到超出目前的临床实践。