共查询到20条相似文献,搜索用时 0 毫秒
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Y. Sawada 《European journal of plastic surgery》1995,18(4):185-187
An umbilicial reconstruction using subcutaneous pedicle flaps is described. With this method, a cosmetically satisfactory result can be easily achieved with little tissue sacrifice. In this procedure the abdominal wall is not incised deeply, thus perforation of the abdominal wall is prevented. 相似文献
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对30例正常人颞浅动脉额支的走行进行测定,并应用颞浅动脉额支岛状皮瓣为11例烧伤者再造眉19侧,取得满意效果。选用额部发际处柔软毛发,再造眉较自然,不仅适用于男性,亦可为女性及儿童解除缺眉之苦。 相似文献
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回顾以颞浅血管为蒂的耳后轴型岛状皮瓣的解剖特点及在颜面修复中的应用评价。在解剖基础上应用显微外科操作技术重建眼窝8例,鼻、耳缺损及其它颜面畸形修复11例。除2例发生小面积皮瓣坏死外其余全部成活。皮瓣色泽与颜面一致,供瓣区隐蔽,再造穹窿宽敞,便于义眼的安装和配戴。认为该皮瓣血供可靠,血管蒂长,在修复颜面软组织缺损和器官再造方面是临床最佳的术式之一 相似文献
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当内眦动脉与面动脉损伤时,可采用眶下血管皮下蒂鼻唇沟皮瓣修复鼻面部小面积缺损,本组5例,均效果满意。 相似文献
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A case in which a venous island flap was used for eyebrow reconstruction is presented. This flap was based on the anterior superficial temporal vein. 相似文献
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目的 探讨颞浅动脉岛状皮瓣在眉再造中的应用。方法 2010年4月至2014年12月,共8例眉部分或全部缺损患者,采用颞浅动脉岛状皮瓣行眉部分或全眉再造。回顾性分析眉缺损情况、皮瓣成活情况、切口瘢痕和再造眉形态等。结果 眉缺损得到良好修复,再造眉外观满意,供区切口瘢痕不明显。结论 应用颞浅动脉岛状皮瓣修复眉部分或全部缺损效果较好,再造的眉毛比较浓密,尤其适合眉毛较为浓密的男性患者。 相似文献
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我们应用颞浅动脉岛状头皮瓣行眉再造术34例取得了良好的临床效果。通过对34例病例的综合分析,分别就如何保证再造眉的良好形态,移植头皮瓣的成活,手术的方法,注意事项及设计的原则等问题进行了较为详尽的讨论。 相似文献
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The posterior superficial temporal artery hairbearing island flap was successfully employed in 3 cases who had partial loss of beard and moustache as a result of burns to their cheek, oral commissure and upper lip regions. Follow-up at 3 months showed excellent beard and moustache growth in all cases, and the facial appearance was satisfactory. 相似文献
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目的:观察皮下蒂岛状皮瓣(旋转门皮瓣)修复耳甲腔皮肤缺损创面的效果。方法:2018年4月至2019年4月,东南大学附属徐州医院整形美容科用耳后皮下蒂旋转门皮瓣治疗耳甲腔皮肤缺损10例,男6例,女4例,年龄2个月至68岁,平均57岁;缺损大小1.0 cm×1.0 cm~2.5 cm×1.5 cm。结果:10例患者术后均一... 相似文献
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Summary A small subcutaneous pedicle flap is described, which is useful in the reconstruction of eyelid defects. Subcutaneous tissue about 5–8 mm in width was left intact at one end of the flap, this served as a pedicle. This type of flap is advantageous in certain cases because the pedicle adjusts more easily to the rotation of the flap. The flap has been used for closure of the defects of the eyelids and lateral canthus in 28 patients. Four cases of lower eyelid and lateral canthal defects repaired with flaps from the zygomatic or temporal region are presented. 相似文献
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Summary An original method for thumb reconstruction by the anterior interosseous osteocutaneous island flap is presented. This flap, based on the superior perforating branch of the anterior interosseous artery, is located on the posterior aspect of the forearm, over the distal third of the radius. The dorsal vascular network of the wrist allows the flap to be raised as a retrograde island flap to reach all the parts of the first ray for reconstruction of osteocutaneous loss of the thumb. Two cases have been operated upon successfully with a satisfactory result. 相似文献
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面瘫的整形修复方法很多。近年来,随着显微外科技术的应用,神经肌肉移植在面瘫修复中的应用受到广泛注意。但面瘫治疗仍是一难题,有待进一步努力。为此作者自1990年以来对11例面瘫患者采用以皮下蒂鼻唇沟真皮瓣悬吊,同时紧缩该处表情肌的手术方法,取得成功。静态外形显著改观,动态外形亦有一定改善。手术方法简易,无需多处切口,技术亦易掌握。术后随访4个月至2年,真皮瓣悬吊未见松弛,1例发生皮脂腺囊肿,经手术切除不再复发,外形未受影响。此种新技术简单、可靠,易于推广。 相似文献
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目的:探讨利用耳前邻近皮瓣与颞区邻近皮瓣联合应用修复颞部皮肤缺损的方法。方法:根据患者颞部皮肤肿物的大小,设计患侧耳前方皮下蒂皮瓣的切取范围并将切口线设计在耳前皱襞上。在颞部肿物外缘向耳上方延长切口线约为皮肤肿物直径的4倍,设计旋转皮瓣。2个皮瓣联合应用,修复颞部较大面积皮肤缺损。供区直接缝合。结果:共施行此类手术12例,患侧皮肤缺损修复满意,切口线相对隐蔽,面部器官形态功能均未受到影响,供区头发自然生长,瘢痕不明显。结论:利用皮下蒂皮瓣与旋转皮瓣联合修复颞部较大面积皮肤缺损,辅助切口少且切口隐蔽,同时皮瓣转移后自然平滑过渡,创面修复满意,无需植皮,瘢痕不明显。 相似文献
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头皮扩张术结合颞浅血管岛状头皮瓣转移修复不规则烧伤性秃发 总被引:1,自引:0,他引:1
在应用头皮组织扩张技术修复头皮瘢痕秃发区的基础上,我们结合颞浅血管为蒂的岛状头皮瓣移植,修复特殊的部位,如发际、鬓角及不规则的秃发区,弥补了常规头皮扩张后以局部皮瓣转移的方式进行修复的不足。同时可将片状瘢痕无发区中存留下来的一块或几块有头发的头皮,形成以颞浅血管为蒂的岛状皮瓣,充分利用,合理分配残留下来的头皮资源,结合头皮扩张来修复其它秃发区及岛状皮瓣的供区。本组病人12 例,均为男性,其中修复鬓角8 例,额部发际4 例;最大秃发面积165cm2 ,岛状瓣最大面积55cm2 ;最小面积为6cm2 ,秃发区修复率达96% ,岛状头皮瓣成活率100 % ,术后随访2~5 年,疗效满意。 相似文献
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Kiyokazu Tamesue Kyoko Hara Fumito Hara Takehiro Nakajima 《The Japanese Journal of Thoracic and Cardiovascular Surgery》2005,53(9):494-497
A 46-year-old woman was referred to our hospital for further evaluation of an abnormal shadow on a chest X-ray. Chest computed
tomography and magnetic resonance imaging revealed a lobulated tumor arising from the left lower lobe. At operation, the tumor
tissue was found to have invaded the lingula and pericardium, involving the left phrenic nerve. Resection of the left lower
lobe, lingula and pericar-dium including the phrenic nerve was performed for extended pulmonary malignancy. A pedicle flap
of the diaphragmatic central tendon was used as a pericardial patch for pericardial reconstruction with satisfactory results.
The patient’s postoperative course was uneventful. The postoperative histological diagnosis was pulmonary adenocarcinoma with
sarcomatous elements [pT3N2M0]. At present, 43 months after the operation, the patient is receiving chemotherapy after having
undergone cyberknife radiotherapy for brain metastasis of the tumor. The use of a pedicle diaphragmatic flap was effective
in repairing a pericardial defect after extensive resection of pulmonary malignancy. 相似文献