摘要
应用面颈耳后联合旋转皮瓣修复颊部瘢痕２６例。皮瓣设计于颊部外侧、耳后及颈侧方，介于颧弓至锁骨之间，在ＳＭＡＳ和颈阔肌浅层进行解剖分离。由于皮瓣内不含知名血管，属于随意型皮瓣。将皮瓣旋转移位后覆盖范围大。其色泽、厚度和质地均接近面部正常皮肤，特别适合面颊中２／３区域，呈上宽下窄形的较大皮肤缺损的修复。近期随访，效果满意。
combined rotational flap was used to repair large scar on the
face. The nap was removedfrom the lateral part of the neck,face and postaural region,between
the zygmatic arch and clavi-cle.The dissection was carried out on the superficial of SM AS and
platysmus M. Twenty-six(12 maies and 14 females) were reported. The age ranged from 5 to 28
years.The flap was sur-vived completely in 19 cases.Smail area at the margin of the flap was
necrotic, which was reduc-ing appeared in the postaural cular region in 6 cases. By reducing
the size of the postaural cualcomponent of the flap,necrosis never occured. Among these
cases,11 were followed up for 6 to14 months.The results were satisfactory. The combined flap
was classified as randomized flapbecause it had no axial and it could be used to cover a large
area of skin defect. The color,thick-ness and quality of the flaps were all close to the normal
facial skin. It was considered especiallysuitable for repair the large wound on the medial
two-thirds of the cheek.
出处
《中国修复重建外科杂志》
CAS
CSCD
1995年第4期196-198,共3页
Chinese Journal of Reparative and Reconstructive Surgery
