应用额部皮瓣修复前额皮肤缺损

目的:应用额部皮瓣修复前额皮肤缺损。方法:根据前额缺损情况,利用眶上动脉及滑车上动脉为蒂的额部转移皮瓣进行修复。结果:本组5例前额皮肤缺损,缺损范围2cm×2cm～6cm×4cm,皮瓣全部成活,切口Ⅰ期愈合,1例供瓣区植皮部分坏死,经换药后愈合。随访观察2月～12月,皮瓣色泽正常,存在感觉,额部外观及功能恢复满意。结论:额部皮瓣血管走行恒定、表浅、血运丰富、易于解剖,切取损伤小、是修复前额皮肤缺损的好方法。

Use of forehead flap in reconstruction of the forehead skin defects

Objective Use of forehead flap in reconstruction of horehead skin defects. Methods According to the condition of the forehead defect, surgical repair was completed with local transfer of a forehead flap which is nourished by supratrochlear and supraorbital arteries. Results There were 5 cases in this cohort,with the largest defect being 6cmx4cm and the smallest one being 2mx2cm in size.All flaps survived, and wounds were healed by first intention. 1 had local graft necrosis at the donor site of the flap,and was healed by dressing.The follow-up being conducted for 7 months to 12 months,the flap was good color and sensation,satisfactory appearance and functional recovery of forehead region. Conclusion Since forehead flaps contain blood vessels that are less variant, superficially ocated,with abundant blood supply, and easy to dissect and harvest,these may be favorable choice for repair of forehead skin defects.