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面颊部洞穿性缺损修复方法的探讨

The treatment of full-thickness defects of cheek

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【作者】 宁金龙展望高学宏袁中华汪春兰李晓静曹东升张林

【Author】 Ning Jinlong;Zhan Wang;Gao Xuehong;et al.(Department of Plastic Surgery,First AffiliatedHospital,Anhui Medical University,Hefei(230022)

【机构】 安徽医科大学附属一院整形外科

【摘要】 为了探讨面颊部洞穿性缺损的修复方法,利用缺损边缘皮瓣翻转、局部唇颊瓣转移、带蒂肌皮瓣及游离皮瓣吻合移植等作为洞穿性缺损的衬里;面颊部局部皮瓣、远位肌皮瓣带蒂转移或吻合移植等修复皮肤缺损。自1975年以来,临床共修复面颊部洞穿性缺损28例,除1例皮瓣远端部分坏死外,皮瓣均成活,颊部功能及外形良好。由此认为面颊部洞穿性缺损修复时尽量选用邻近皮瓣作为衬里,皮肤覆盖应采用局部皮瓣为主,其色泽、质地与缺损区相近,术后外形较好。

【Abstract】 To investigate the treatment of full-thickness defects of cheeks.Since 1975,28 cases offull-thickness defects of cheek have been treated.The local cheek flaps,turn-over flap of defects mar-gin,pedicle musculocutaneous flap and free flap to line the ckeek. The advancement-rotation ofcerv1cofacial flap distant musculocutaneous flap pedicle or free graft to repair the skin defects.Therewas partial necrosis of the tip in 1 flap, while all others survived completly The authors consider thatthe turn-over flap to line the cheek and the local flap to repair the skin defect are worthwhile toreconstruction of full-thickness defects of check.

【关键词】 面颊部洞穿性缺损修复
【Key words】 CheekFull-thickness defectRepair.
  • 【分类号】R622
  • 【被引频次】3
  • 【下载频次】43
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