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采用单块游离皮瓣进行全颜面重建。

Total face reconstruction with one free flap.

作者信息

Angrigiani C, Grilli D

出版信息

Plast Reconstr Surg. 1997 May;99(6):1566-75.

PMID:9145124
Abstract

A bilateral extended scapular (scapular-parascapular) free flap was used in five patients with severe facial burn sequelae for complete resurfacing of the face with the exception of the nose, which was reconstructed in a separate operative procedure. All the flaps survived. Four were utilized for complete face resurfacing and one for neck and partial face resurfacing. The results were classified subjectively according to both patient and surgeon opinion. Good to fair results were obtained. The authors believe that this method might be further explored to obtain better results in these difficult cases.

摘要

对5例严重面部烧伤后遗症患者采用双侧扩大肩胛(肩胛-肩胛旁)游离皮瓣,除鼻子在单独手术中重建外,对面部进行完全创面覆盖。所有皮瓣均存活。4例用于全脸创面覆盖,1例用于颈部及部分面部创面覆盖。根据患者和外科医生的意见,对结果进行主观分类。获得了良好至中等的效果。作者认为,在这些困难病例中,这种方法可能值得进一步探索以获得更好的效果。

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