应用随意微小皮瓣术修复颜面皮肤缺损58例效果评价

目的：评价随意微小皮瓣修复颜面部皮肤外科手术后皮肤缺损的效果。方法：58例颜面部皮肤外科手术患者采用随意微小皮瓣修复皮肤缺损。结果：7种58例随意微小皮瓣修复颜面部皮肤缺损，55例术后效果满意，无牵拉变形，瘢痕隐蔽。3例患者出现术后皮瓣远端青紫或周边出现表皮水疱现象，随访均痊愈。随意微小皮瓣最常用于颊部，其次是额部、鼻部、眼睑、口唇及口周部位、颞部、眉部、下颏。应用最多的是皮下蒂滑行推进皮瓣。结论：合理设计个性化随意微小皮瓣修复颜面部皮肤缺损，可获得满意疗效。

Small random pattern skin flaps in repair of facial skin defects

Objective： To explore the effects of small random pattern skin flaps in repair of facial skin defects in dermatologic surgery. Methods： Specific small random pattern skin flaps were designed for repair of facial skin defects in 58 patients after the resection of their lesions. Results： A totle of 7 kinds of 58 pieces of small random pattern skin flaps were designed and applied in repair of facial skin defects. Of all patients, 55 achieved excellent effects with a concealed scar left but without facial deformation. The distal ends of flaps became cyanoderma and superficial blister appeared around it in 3 patients, which healed in the subsequent follow- up. The predilection sites for the formation of skin flaps in decreasing order were bucca, followed by foreheads, nose, eyelids, lips, tempus, eyebrows and mandible resions. The most widely used were sliding advancement skin flaps. Conclusion： Reasonable design of small random pattern skin flaps may result in satisfying thera eutic and cosmetic effects for repair of facial skin defects.