Rogel-Vence M, Carmona-Rodríguez M, Moro-Bolado F, González-Ruiz L, Sánchez-Caminero M P, Romero-Aguilera G
Servicio de Dermatología, Hospital General Universitario de Ciudad Real, Ciudad Real, España.
Servicio de Dermatología, Hospital General Universitario de Ciudad Real, Ciudad Real, España.
Actas Dermosifiliogr. 2022 Feb;113(2):123-133. doi: 10.1016/j.ad.2021.06.001. Epub 2021 Jun 25.
Tunneled island flaps that transfer skin from a site adjacent to the wound are an effective way to reconstruct defects. These flaps provide good aesthetic and functional results and can be completed during a single surgical session, thus reducing complications. The procedure consists of taking an island of skin about the size of the surgical defect and moving it through a subcutaneous tunnel to cover the wound. We aimed to exemplify the use of these flaps in different regions of the face.
Retrospective descriptive study of 12 cases in which tunneled island flaps were used after removal of malignant tumors in different facial regions.
The tumors, all of which were basal cell carcinomas, were removed by means of conventional surgery from 9 patients and Mohs micrographic surgery from 3 patients. Histology demonstrated tumor-free margins after excision in all cases. None of the tumors recurred during a mean follow-up period of 25 months. All complications were minor and transient. There were 3 cases of trapdoor effect and 2 each of postsurgical bleeding, transient superficial flap necrosis, and slight protrusion of the pedicle. The final cosmetic and functional outcome was satisfactory in all cases.
Tunneled island flaps are particularly useful for repairing defects in the center of the face, where several anatomical structures converge. These flaps, which use donor skin that is similar to skin in the receptor site, can be used to close large defects in one-step procedures with only slight alteration of the facial architecture.
带蒂岛状皮瓣通过将伤口附近部位的皮肤进行转移，是修复缺损的一种有效方法。这些皮瓣能带来良好的美学和功能效果，且可在单次手术中完成，从而减少并发症。该手术过程包括切取一块大小约为手术缺损的皮肤岛，然后通过皮下隧道将其移动到伤口处进行覆盖。我们旨在举例说明这些皮瓣在面部不同区域的应用。
对12例在面部不同区域切除恶性肿瘤后使用带蒂岛状皮瓣的病例进行回顾性描述性研究。
所有肿瘤均为基底细胞癌，9例患者通过传统手术切除，3例患者通过莫氏显微外科手术切除。组织学检查显示所有病例切除后切缘无肿瘤残留。在平均25个月的随访期内，无一例肿瘤复发。所有并发症均为轻微且短暂的。有3例出现活板门效应，术后出血、皮瓣短暂性浅表坏死及蒂部轻度突出各2例。所有病例最终的美容和功能效果均令人满意。
带蒂岛状皮瓣对于修复面部中央缺损特别有用，该区域有多个解剖结构汇聚。这些皮瓣使用与受区皮肤相似的供区皮肤，可用于一步修复大的缺损，对面部结构仅造成轻微改变。
