采用游离股前外侧皮瓣修复面部血管瘤患者的放射性损伤
Reconstruction of radiation-induced damage in patients with facial hemangiomas using free anterolateral thigh flap.
作者信息
Sơn Trần Thiết, Nghĩa Phan Tuấn, Trọng Nguyễn Hữu, Việt Dung Phạm Thị, Hồng Thuý Tạ Thị, Runyan Christopher
机构信息
Department of Plastic and Reconstructive Surgery, Hanoi Medical University, Hanoi, Vietnam.
Department of Plastic Reconstructive and Aesthetic Surgery, Bach Mai Hospital, Hanoi, Vietnam.
出版信息
JPRAS Open. 2025 Jan 10;43:419-427. doi: 10.1016/j.jpra.2025.01.007. eCollection 2025 Mar.
OBJECTIVE
Radiation therapy to treat hemangiomas is an old method that is no longer used due to its severe side effects. However, in Vietnam, radiotherapy has long been used to treat infantile hemangiomas, which has led to severe sequelae in adulthood. This article shares our experience in reconstructing the sequelae of radiation therapy for facial hemangioma using free anterolateral thigh (ALT) flap.
MATERIALS AND METHODS
Six patients underwent facial lesion reconstruction using different ALT flaps, including volume augmentation, fascial, and thinning flaps.
RESULTS
The largest flap used was 20 × 8 cm and the smallest flap was 11 × 6 cm. All flaps survived completely and no post-operative complications were noted. The patients were highly satisfied with the surgical outcomes, and the aesthetics of the flap were also excellent, with the flap being similar in color to the facial skin.
CONCLUSION
The ALT flap has several advantages, including flexibility in use, diversity in flap components, and minimal impact on the donor site, making it increasingly popular and effective.
目的
放射治疗血管瘤是一种因副作用严重而不再使用的古老方法。然而，在越南，放射治疗长期以来一直被用于治疗婴儿血管瘤，这导致了成年后的严重后遗症。本文分享我们使用游离股前外侧（ALT）皮瓣修复面部血管瘤放射治疗后遗症的经验。
材料与方法
6例患者使用不同的ALT皮瓣进行面部病变修复，包括容积增加皮瓣、筋膜皮瓣和薄型皮瓣。
结果
使用的最大皮瓣为20×8cm，最小皮瓣为11×6cm。所有皮瓣均完全存活，未观察到术后并发症。患者对手术效果高度满意，皮瓣的美学效果也非常好，皮瓣颜色与面部皮肤相似。
结论
ALT皮瓣具有多种优点，包括使用灵活、皮瓣成分多样以及对供区影响最小，使其越来越受欢迎且有效。
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