随意微小皮瓣在颜面部皮肤缺损Ⅰ期修复中的应用

目的 观察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 203例颜面部皮肤外科手术患者,在切除皮损后,根据术中缺损情况设计随意微小皮瓣Ⅰ期修复皮肤缺损.结果 完成了8种205处皮瓣Ⅰ期修复颜面部皮肤缺损.其中182例术后效果佳,面部无牵拉变形,不是你、瘢痕隐蔽21例患者术后皮瓣远端表皮坏死.形成皮瓣的部位最常见于颊部.其次是眼睑、额部、颞部、耳前、颏部、应用最多的是滑行推进皮瓣,其次是旋转皮瓣.结论 合理设计个性化随意微小皮瓣Ⅰ期修复颜面部小面积皮肤缺损.可获满意疗效和美容效果.

Application of small random pattern skin flaps in one stage repair of facial skin defects

Objective To explore the effects of small random pattern skin flaps in one stage repair of facial skin defects in dermatologic surgery. Methods Specific small random pattern skin flaps were designed for the one stage repair of facial skin defects in 203 patients after the resection of their lesions. Results A totll of 8 kinds and 205 pieces of small random pattern skin flaps were successfully designed and applied in ono stage repair of facial skin defects. Of all patients, 182 achieved excellent effects with a concealed scar left but without facial deformation, 21 experienced epidermal necrosis in the distal end of skin flaps. The most widely used were sliding advancement skin flaps, followed by rotation skin flaps. The predilection sites for the formation of skin flaps in decreasing order were bucca, followed by eyelids, foreheads, tempus, preauricular and mandible regions. Conclusion Reasonable design of small random pattern skin flaps may result in satisfying therapeutic and cosmetic effects for one stage repair of facial skin defects.