摘要
目的:介绍上臂内侧扩张皮瓣修复面部瘢痕、黑痣的方法。方法:2009年12月～2011年7月,共16例面部大面积瘢痕或黑痣患者采用上臂内侧皮瓣进行修复,其中面部瘢痕患者14例,面部黑痣2例,男性13例,女性3例,年龄18～36岁。手术分三期进行,一期在面部病变同侧上臂植入扩张器,持续注水约3个月,二期行皮瓣延迟术,三期将上臂内侧皮瓣带蒂转移,病变切除。四期断蒂。结果:16例患者皮瓣均成活良好,皮瓣颜色接近面部周围皮肤,局部瘢痕牵拉畸形者亦改善明显,随访6～12个月,修复效果满意。结论:上臂内侧皮瓣为修复面部大面积皮肤病变的良好选择。
Objective To introduce the application of medial upper arm flap in the treatment of large area of scar and black nevus on face.Methods From December 2009 to July 2011,16 patients with large area of scar and black nevus on face were performed face reconstruction using medial upper arm flap.Of all the cases,14 patients were diagnosed as scar on face,2 patients were diagnosed as black nevus on face.13 patients were male,3 patients were female,ranging in age from 18 to 36.A tissue expander was placed in the medial arm region and serially inflated for approximately 3 months.Second,delaying of skin flap was performed.Then,the pedicle skin flap was transferred to the face.The pedicle was divided 3 weeks later,and the flap was used to resurface the facial defect.Results All the flap were safely transferred.The color of the flap was close to the surrounding skin.The dragging deformity by scar were corrected.With 6 to 12 months＇ follow-up,the appearance were good.Conclusion Medial upper arm flap was a good option for reconstruction of massive facial defects.
出处
《中国美容医学》
CAS
2012年第2期196-198,共3页
Chinese Journal of Aesthetic Medicine
关键词
上臂内侧皮瓣
扩张器
面部瘢痕
面部黑痣
medial upper arm flap
expander
facial scar
facial black nevus
