Frøkiaer E, Kiil J, Søgaard H
Scand J Plast Reconstr Surg. 1982;16(2):157-61. doi: 10.3109/02844318209006584.
The use of skin flaps in the treatment of malignant melanomas in the head and neck is compared to the application of free skin grafts. In 13 patients the wounds were closed directly, in 58 the defects were covered by free skin grafts, and in 80 patients the defects were covered by flap plasties. The distribution of tumours with various degrees of invasion was similar within the groups. Local recurrences or local skin metastases occurred in 18 patients. Eight were found in the skin graft group. In the group with direct closure only 1 patient had a recurrence. Nine were found in patients treated with skin flaps. The use of skin flaps is often a great advantage from an aesthetic point of view and this survey does not indicate that it is contraindicated for oncologic reasons.
对头颈部恶性黑色素瘤的治疗，比较了皮瓣应用与游离皮片移植。13例患者伤口直接闭合，58例患者的缺损采用游离皮片覆盖，80例患者的缺损采用皮瓣整形修复。各组中不同浸润程度肿瘤的分布相似。18例患者出现局部复发或局部皮肤转移。皮片移植组发现8例。仅直接闭合组有1例复发。皮瓣治疗组发现9例。从美学角度看，皮瓣的应用通常具有很大优势，且本次调查未表明其因肿瘤学原因而禁忌使用。
