Comprehensive Ward of Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Scar and Wound Treatment Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
BMC Surg. 2024 Jan 13;24(1):20. doi: 10.1186/s12893-024-02312-7.
Benign skin lesions in zygomatic-infraorbital regions severely influence pediatric patients' appearance as well as mental health. Treatments are difficult for the high requirements of patients' guardians in both function and aesthetics. The present study aims to introduce a surgical method, Expanded Multi-Lobe Cervicofacial Flap, which combines the advantages of the classical cervicofacial advancement rotation flap and the tissue expansion technique.
A total of 21 pediatric patients were enrolled. The treatment process included 2 stages: implantation of the skin tissue expander and flap transfer. The excessive skin created by tissue expansion extended the coverage area of the multi-lobe flap.
In this retrospective study, follow-up periods were all more than 12 months (20.8 ± 6.7). In the last follow-ups, the flaps were all in good condition, and No facial organ displacement was observed. The patients' guardians were satisfied with the outcomes.
Using the expanded multi-lobe cervicofacial flap for the zygomatic-infraorbital benign skin lesion repair is effective, and this method is especially applicable to the pediatric population.
颧骨眶下区域的良性皮肤病变严重影响儿童患者的外貌和心理健康。治疗需要满足患者监护人在功能和美学方面的高要求，具有一定难度。本研究旨在介绍一种外科手术方法，即扩张多叶颈面皮瓣，该方法结合了经典颈面推进旋转皮瓣和组织扩张技术的优点。
共纳入 21 例儿科患者。治疗过程包括 2 个阶段：皮肤组织扩张器的植入和皮瓣转移。组织扩张产生的多余皮肤扩大了多叶皮瓣的覆盖面积。
在这项回顾性研究中，所有患者的随访时间均超过 12 个月（20.8±6.7）。在最后一次随访中，皮瓣均状况良好，未观察到面部器官移位。患者监护人对治疗结果满意。
使用扩张多叶颈面皮瓣修复颧骨眶下良性皮肤病变是有效的，尤其适用于儿科人群。
