Chinese Journal of Dermatology
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WANG Yan1, FANG Fang1, ZHAO Liang1, WU Xin-feng1, WANG Qiang1, YANG Cheng2, QIAN Ge1, ZHANG Guo-cheng1
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Abstract: 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 total of 8 kinds and 205 pieces of small random pattern skin flaps were successfully designed and applied in one 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.
Key words: Surgical flaps, Wound healing, Facial skin defect
WANG Yan, FANG Fang, ZHAO Liang, WU Xin-feng, WANG Qiang, YANG Cheng, QIAN Ge, ZHANG Guo-cheng. Application of small random pattern skin flaps in one stage repair of facial skin defects[J].Chinese Journal of Dermatology, 2007, 40(7): 393-395.
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