组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2019, Vol. 15 ›› Issue (1): 20-24.doi: 10.3969/j.issn.1673-0364.2019.01.006

• 论著 • 上一篇    下一篇

颞浅双蒂预扩张头皮瓣在严重烧伤后下面部轮廓重建中的应用

闵沛如，章一新   

  1. 上海交通大学医学院附属第九人民医院整复外科
  • 收稿日期:2018-12-08 修回日期:2019-01-20 出版日期:2019-02-20 发布日期:2019-02-20
  • 作者简介:章一新(E-mail:zhangyixin6688@163.com)。

Bipedicled Pre-Expended Superficial Temporary Artery Visor Flap for Post-Burn Reshaping of Lower Facial Contour

MIN Peiru,ZHANG Yixin   

  1. Department of Plastic and Reconstructive Surgery,Shanghai Ninth People's Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200011,China)
  • Received:2018-12-08 Revised:2019-01-20 Online:2019-02-20 Published:2019-02-20
  • Contact: 上海市教委高峰高原计划“研究型医师”项目(20152227)；国家自然科学基金青年项目(81801918)

摘要： 目的 探讨颞浅双蒂预扩张头皮瓣在严重烧伤后下面部轮廓重建中的应用效果。方法 2014年1月至2017年1月,应用颞浅双蒂预扩张皮瓣修复10例男性患者烧伤后上、下唇瘢痕。一期于头皮下放置扩张器,经6～8个月扩张后,行二期手术,缺损覆盖按亚单位原则进行。结果 扩张皮瓣全部成活并覆盖上、下唇区域,未发生术后并发症。随访6～12个月,皮瓣质地柔软,不臃肿,肤色与正常唇周皮肤相近,瘢痕隐蔽,张口及表情功能良好。结论 颞浅双蒂预扩张头皮瓣是修复男性患者上下唇全层皮肤组织缺损的较好方法。

关键词: 颞浅双蒂预扩张头皮瓣, 烧伤后瘢痕, 上下唇缺损

Abstract: Objective To explore the clinical application and outcome of the bipedicled pre-expended superficial temporary artery visor flap in the post-burn reshaping of lower facial contour.Methods From January 2014 to January 2017,10 male patients were treated with bipedicled pre-expended superficial temporary artery visor flap for the coverage of the defect in upper and lower lips.After inserting the tissue expander below scalp in first stage,a period of 6-8 months was conducted for tissue expansion.Second stage operation was then applied based on the principle of subunits.Results All the flap survived and covered the upper and lower lip area without any postoperative complications.All patients were followed up for 6-12 months.The flap was soft and not puffy.The skin color was similar to that around the lip.The function of mouth opening and expression was good without obvious scars.Conclusion The bipedicled pre-expended superficial temporary artery visor flap is safe and effective in the reconstruction of skin defect of upper and lower lips for male patients.

Key words: Bipedicled pre-expended superficial temporary artery visor flap, Post-burn scars, Defect in upper and lower lips

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