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额部岛状皮瓣修复眶周恶性肿瘤切除后缺损
引用本文:ADILI Morning,王玲,JULAITI Tuerxun,魏琰.额部岛状皮瓣修复眶周恶性肿瘤切除后缺损[J].中华医学美学美容杂志,2008,14(4).
作者姓名:ADILI Morning  王玲  JULAITI Tuerxun  魏琰
作者单位:1. Department of Oral and Maxillo facial Surgery, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China
2. 新疆医科大学第一附属医院口腔颌面外科,乌鲁木齐,830054
摘    要:目的 探讨额部岛状皮瓣修复眶周恶性肿瘤切除术后缺损的方法及修复效果.方法 对6例眶周恶性肿瘤扩大切除术后的软组织缺损患者,采用显微外科技术剥离血管蒂制备单侧额部岛状皮瓣进行I期修复,并将皮瓣折叠、去表皮,再造眼睑及充填颧部凹陷,供瓣区从下腹部取中厚皮片移植修复或直接拉拢缝合.皮瓣设计最小面积2.5 cm×3.0 cm,最大面积8 cm×5 cm.结果 6例转移皮瓣均完全成活,眶周外形恢复较好,下睑功能尚可.结论 额部岛状皮瓣质地、肤色均与受区近似,可最大程度地恢复面部的美学要求,是修复眶周恶性肿瘤切除术后皮肤缺损的一种较理想的手术方法.

关 键 词:眶周  额部岛状皮瓣  修复  肿瘤  缺损

Repairing of defect around orbit with a forehead flap
ADILI Morning,WANG Ling,JULAITI Tuerxun,WEI Yan.Repairing of defect around orbit with a forehead flap[J].Chinese Journal of Medical Aesthetics and Cosmetology,2008,14(4).
Authors:ADILI Morning  WANG Ling  JULAITI Tuerxun  WEI Yan
Abstract:Objective To study the method of repairing the periorbit tissue defect using a forehead myocutaneous flap transplantation. Methods The retrospective investigation was performed in 6 cases of the periorbit tissue defect being repaired with the forehead flap with a pedicle of superficial temporal ves-sels and fascia during 2001 to 2007 by mierosurgieal techniques. The size of transplantatcd skin flap ranged from 2.5 cm×3.0 cm to 8 cm×5 cm. Results Six cases of forehead flap transplantation with a superficial temporal vessels and fascia pedicle were completely survival and achieved aesthetic contouring. Conclusion The method of forehead flap transplantation with a superficial temporal vessels and fascia pedicle is a safe and potent choice for the reconstruction of the periorbit tissue defect.
Keywords:Flap  Forehead flap  Repair  Tumor  The defect
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