皮下蒂皮瓣与旋转皮瓣在颞部皮肤缺损修复中的联合应用.docx

皮下蒂皮瓣与旋转皮瓣在颞部皮肤缺损修复中的联合应用[摘要]目的：探讨利用耳前邻近皮瓣与颞区邻近皮瓣联合应用修复颞部皮肤缺损的方法。方法：根据患者颞部皮肤肿物的大小设计患侧耳前方皮下蒂皮瓣的切取范围并将切口线设计在耳前皱襞上。在颞部肿物外缘向耳上方延长切口线约为皮肤肿物直径的4倍设计旋转皮瓣。2个皮瓣联合应用修复颞部较大面积皮肤缺损。供区直接缝合。结果：共施行此类手术12例患侧皮肤缺损修复满意切口线相对隐蔽面部器官形态功能均未受到影响供区头发自然生长瘢痕不明显。结论：利用皮下蒂皮瓣与旋转皮瓣联合修复颞部较大面积皮肤缺损辅助切口少且切口隐蔽同时皮瓣转移后自然平滑过渡创面修复满意无需植皮瘢痕不明显。[关键词]颞部皮肤缺损；皮下蒂皮瓣；旋转皮瓣；联合修复[中图分类号]R622[文献标识码]A[文章编号]1008-6455（2013）01-0113-02TemporaljointapplicationofsubcutaneouspedicleflapandrotationalflapintherepairofskindefectCHENDong-laiLIUZhi-gangYANGYan-yanLUOPengLURun-pengLIHong-lingYANGFeng-hui（DepartmentofDermatologyandPlasticSurgeryTianjinDongliHospitalTianjin300300China）Abstract：ObjectiveToexploretheusageofearadjacentflapandthetemporalregionoftheadjacentflapfortherepairofskindefectacombinedapplication.MethodsAccordingtothesizesoftemporalskintumorsofthepatientsdifferentdesignswithinclinedanteriorsubcutaneouspedicleflapofchippedrangehavetobemadeaswellasthecutlinedesigninearbeforetheplica.Inthetemporaltumoroutereartoextendtheincisionlinethediametershouldbe4timesoftheskintumor.Thedesignofrotationalflaptwoflapscombinedapplicationforrepairingtemporalalargeskindefecthasbeenprovedasuccessindirectsuturezone.Results12casesofsuchsurgerysufferingfromsideskindefecthavebeenrepairedingoodconditionincisionlinerelativeconcealedfacialorganshapefunctionsarenotaffectedthehairgrowsnaturallythescarsarenotobvious.ConclusionThemethodofsubcutaneouspedicleflapandrotationalflapjointapplicationfortherepairoftemporalalargeskindefectshowsauxiliaryincisionandlessincisionhiddennaturalsmoothtransitionafterflaptransferwoundshealedingoodconditionwithnoobviousscars.Keywords：temporalskindefect；subcutaneouspedicleflap；rotationalflap；combinedapplication颞部是皮肤肿瘤的好发部位对于颞部皮肤肿瘤术中