中华皮肤科杂志 ›› 2010, Vol. 43 ›› Issue (9): 657-658.

• 皮肤外科 • 上一篇    下一篇

斧头状皮瓣修复头面部皮肤肿瘤切除后创面

张健   

  1. 沈阳市第七人民医院
  • 收稿日期:2009-12-30 修回日期:2010-01-29 发布日期:2010-09-10
  • 通讯作者: 张健 E-mail:jjdsky@163.com

Repair of defects in the head and face following resection of skin neoplasms using hatchet-like skin flaps

  • Received:2009-12-30 Revised:2010-01-29 Published:2010-09-10

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摘要：

[摘要] 目的： 探讨采用斧头状皮瓣修复头面部皮肤肿瘤切除后形成的继发性创面的应用体会。方法： 42例头面部皮肤软组织缺损中, 面积最小0.8cm×0.7cm, 最大5cm×6cm，在缺损边缘的一侧形成斧头状皮瓣, 面积为创面的1～1. 5倍, 蒂部宽度约为旋转侧宽度的1/3～1/4, 形成深度在面部为SMAS的浅面, 头部为帽状腱膜与颅骨骨膜之间。皮瓣形成后向受区旋转推进修复创面。结果：全部皮瓣存活良好, 创面得以Ⅰ期修复,美容效果满意。结论: 斧头状皮瓣制作简单, 血运可靠, 是修复头面部皮肤软组织缺损的一种理想方法。

关键词: [关键词] 斧头状皮瓣, 头面部, 皮肤肿瘤, 皮肤缺损, 修复

Abstract:

Abstract：Objective To summarize clinical experience of skin and soft- tissue defects reparation with hatchet flap in face and head after resection of cutaneous tumor. Methods 42 patents with skin and soft- tissue defects were admitted to our department from July 2008 to November 2009, the focus area ranged from 0.8cm×0.7cm to 5cm×6cm. The axe- shaped flap was formed beside defect and elevated from fascia layer, area was 1~1.5 times as large as the defect, the width of pedicle was 1/3~1/4 as long as the rotation side. Soft tissue flaps were elevated from superficial layer of SMAS in face and formed between epicranial aponeurosis and periosteum in head. Results 42 defects repaired by the dolabriform flaps survived with primary healing, and the cosmetic results were satisfactory. Conclusion The elevating of hatchet flap is easy and it is abundant in blood supply. It is a reliable method for repair of skin defects in face and head which can not be sutured directly.

Key words: Key words：Hatchet flap, Face and head, Cutaneous tumor, Skin defects, Repairing