【摘要】：目的:總結(jié)頭面部皮膚組織缺損的不同手術(shù)修復(fù)方式和技巧,評(píng)價(jià)其外觀療效。方法:回顧性研究了近5年來(lái)頭面部因?yàn)橥鈧�、腫瘤切除所造成的皮膚組織缺損的病例97例,其中鼻部37例,面頰部21例,額部9例,顳部13例,耳部17例,在安全切除病損組織以后采用鄰近的轉(zhuǎn)位皮瓣、帶血管蒂皮瓣、肌皮瓣、鼻甲黏膜瓣等進(jìn)行一期修復(fù)。結(jié)果:手術(shù)后皮瓣一期愈合,1周拆線出院71例;皮瓣邊緣小部分缺血壞死24例;皮瓣出現(xiàn)大部分缺血壞死1例;皮瓣下感染壞死1例。結(jié)論:頭面部的皮膚缺損均可采用鄰近的各類(lèi)微型皮瓣進(jìn)行一期修復(fù),皮瓣成活情況與手術(shù)技巧密切相關(guān),耳后溝皮瓣運(yùn)用廣泛,適合耳部多個(gè)區(qū)域的皮膚缺損修復(fù)。
[Abstract]:Objective: To summarize the methods and techniques of different operation of head facial skin tissue defect, and to evaluate the effect of its appearance. Methods: A retrospective study of 97 cases of skin tissue defect caused by trauma and tumor resection in the recent 5 years, including 37 cases of the nose,21 cases of the cheek,9 cases of the frontal part,13 cases of the nose,17 cases of the ear, and the adjacent transposition skin flap after the safety cut-out of the lesion. The first-stage repair was performed with the vascular pedicle flap, the musculocutaneous flap, the nasal mucosa flap, and the like. Results: After the operation, the first phase of the skin flap was healed,71 cases were discharged from the hospital after 1 week, and 24 cases of the ischemic necrosis of the marginal part of the skin flap were observed, and one case was found in the skin flap, and 1 case was necrosis of the skin flap. Conclusion: The skin defect of the head face can be repaired with the adjacent micro-skin flap. The survival condition of the flap is closely related to the surgical technique.
【作者單位】： 恩施州中心醫(yī)院耳鼻咽喉頭頸外科;
【分類(lèi)號(hào)】：R622

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1 艾清秀;張自雄;向華;;鄰近微型皮瓣在頭面部皮膚缺損修復(fù)中的運(yùn)用[J];臨床耳鼻咽喉頭頸外科雜志;2017年14期

2 石磊;陸振中;黃e，

本文編號(hào)：2486389