中华皮肤科杂志 ›› 2011, Vol. 44 ›› Issue (12): 846-846.

• 皮肤外科 • 上一篇    下一篇

A-T皮瓣修复颞部皮肤肿瘤切除后缺损32例

张斌1,刘积东1,张琪1,朱英华1,占城2,王文松3   

  1. 1. 大连市皮肤病医院
    2.
    3. 大连市皮肤病防治所
  • 收稿日期:2011-03-04 修回日期:2011-08-03 出版日期:2011-12-15 发布日期:2011-12-02
  • 通讯作者: 张斌 E-mail:piao_china@sina.com

Repair of skin defects following resection of temporal tumors with A-T advancement flaps: 32 case reports

  • Received:2011-03-04 Revised:2011-08-03 Online:2011-12-15 Published:2011-12-02
  • Contact: Zhang Bin E-mail:piao_china@sina.com

摘要:

目的 介绍应用A-T皮瓣修复颞部皮肤肿瘤切除术后创面缺损的经验和体会。方法 在遵循皮肤肿瘤切除原则基础上彻底切除皮肤肿瘤,设计A-T皮瓣修复颞部皮肤缺损,A形两侧切口线顺应眼部鱼尾纹走向,T形底边为顺应或平行发际线和耳前轮廓线的曲线,形成上下两个推进皮瓣修复中间三角形缺损,术后的切口线隐蔽。结果 本组共32例患者,颞部皮肤缺损面积最大2.8cm×4.0cm,术后皮瓣全部成活,外形美观。随访2年,未见复发,效果满意。结论 应用A-T皮瓣修复颞部皮肤肿瘤切除术后创面缺损,术后可获得满意的美容修复效果。

关键词: 外科皮瓣

Abstract:

Objective Our purpose is introducing the experience and comprehension of application of A-T shaped advanced flap for repairing of temple skin defects. Methods Follow the principles of the skin tumor excision to repairing and use A –T shaped advanced flap for repairing of temple skin defects caused by skin tumor excision. A-shaped sides of the incision line was along crow`s feet wrinkle, and the bottom of T-shaped of the incision line was parallel to hair and ear contour line. We advanced two flap from sides to middle and closed the defect. The incision line was concealed after surgery. Results 32 cases were treated, the maximum of temple skin defects was 2.8cm×4cm, After surgery, all flaps were survived, and their shape is good. Followed up for 2 years, no recurrence. Conclusion By using A-T shaped advanced flap for repairing of temple skin defects after the skin tumor excision, we could get excellent cosmetic and functional result.

中图分类号: 

  • R622.9