摘要
目的探讨不同带蒂皮瓣在头皮恶性肿瘤术后缺损I期修复与重建中的作用,评价其临床效果。方法用邻近头皮瓣转移加植皮法、逆流颞顶筋膜瓣转移加植皮法,下斜方肌肌皮瓣转移法一期修复头皮缺损伴颅骨外露36例。结果共切取皮瓣,筋膜瓣,肌皮瓣42块,除1例下斜方肌肌皮瓣远端表皮坏死经换药后愈合,其余皮瓣完全成活,功能及外观均满意,随访3月～3年无复发。结论邻近头皮瓣转移加植皮术对术后较小面积头皮缺损伴颅骨外露效果良好,逆流颞顶筋膜瓣加植皮法适应于额顶部头皮肿瘤切除后骨外露修复的有效方法之一,而下斜方肌肌皮瓣可满足较大面积头皮缺损伴颅骨外露的修复。
Objective To evaluate different flap with hilum in one - stage reconstruction for head defects after caner resection. Methods 42 cases were repaired by local transposition scalp and skin graft, temporoparietal fascial flap and extralong musculo-cutaneous flap. Results 36 cases obtained complete success with satisfactory results, except one case of necrosis in the distal of the flap and delayed wound healing. Conclusion It is has been proved weel in cases treated with local transposition scalp and skin graft. The temporoparietal fascial flap is an efficatious and convenient method for repairing severe soft tissue defects in the fronto-parieto-tempral region and the superlower trapezius myocutaneous flap is an ideal method for repairing the large skull exposure.
出处
《安徽医科大学学报》
CAS
北大核心
2005年第6期581-583,共3页
Acta Universitatis Medicinalis Anhui
