Abstract
目的 探讨颏下岛状瓣修复面部组织缺损的应用效果.方法6例面部病变患者,其中男4例,女2例;最小年龄44岁,最大78岁.病变部位:左面部2例,左腮腺区1例,右腮腺区1例,右面部2例.病变性质:皮样囊肿感染伴皮肤坏死1例,皮脂腺囊肿感染伴皮肤坏死1例,皮肤上皮瘤恶变1例,鳞状细胞癌3例.良性病变切除后,恶性病变扩大切除同期行颈淋巴清扫术后,面部缺损均以颏下岛状瓣即时修复.组织缺损范围最小4.0 cm×3.0 cm,最大6.0 cm×6.0 cm.组织瓣最小面积4.5 cm×3.0 cm,最大6.0 cm×4.5 cm.组织瓣以颏下动脉为蒂3例,颏下动脉联合面动脉为蒂3例.蒂的长度:6 cm 3例,9 cm 2例,11cm 1例.结果6例组织瓣均存活良好,肤色与面部无明显差异;未发生任何并发症.供区伤口Ⅰ期愈合,平视位时,供区瘢痕不显露.结论颏下岛状瓣修复面部组织缺损是一种可供选择的良好方法。
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