滑行肌皮瓣修复眉内肿物切除术后创面疗效研究
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摘要
目的:探讨滑行肌皮瓣在眉内肿物切除术后眉缺损修复中的应用效果。方法:选取2015年2月-2017年8月在笔者医院就诊的9例眉内肿物患者,行肿物切除,根据缺损面积在创面旁剩余眉部设计合理的三角形肌皮瓣,滑行肌皮瓣覆盖缺损区。结果:9例患者术后病理检查均显示为"色素痣",皮瓣均一期成活,皮瓣颜色、质地、眉形均与健侧接近,术后瘢痕隐蔽,眉部无畸形,外形美观,外观满意。所有患者随访1年以上,肿物无复发,眉毛生长良好,皮瓣上眉毛无脱落。结论:肌皮瓣滑行修复眉内肿物切除术后缺损疗效可靠,合理的术前设计既修复了眉缺损,又维持了眉形,手术操作简单,成功率高,是可供临床选择的好方法。
Objective To evaluate the clinical application of the sliding muscle flap in the repair of eyebrow defect after eyebrow mass resection. Methods Nine patients with eyebrow masses who were treated in our hospital from February 2015 to August 2017 were treated with tumor resection. According to the defect area, a reasonable musculocutaneous flap was placed next to the wound surface, and the sliding musculocutaneous flap covered the defect area. Results Postoperative pathological examination showed "pigmented nevus" in 9 patients.The flaps of the 9 patients survived in the first stage. The color, texture and eyebrow shape of the flaps were close to the healthy side. The scars were concealed, the eyebrows were not deformed, the appearance was beautiful, and the appearance was satisfactory. All patients were followed up for more than 1 year, the tumor did not recur, the eyebrows grew well, and the eyebrows on the flap did not fall off. Conclusion The musculocutaneous flap is effective in the resection of the eyebrow tumors. The reasonable preoperative design not only repairs the eyebrow defect, but also maintains the eyebrow shape. The operation is not difficult and the success rate is high. It is a good method for clinical selection.
Objective To evaluate the clinical application of the sliding muscle flap in the repair of eyebrow defect after eyebrow mass resection. Methods Nine patients with eyebrow masses who were treated in our hospital from February 2015 to August 2017 were treated with tumor resection. According to the defect area, a reasonable musculocutaneous flap was placed next to the wound surface, and the sliding musculocutaneous flap covered the defect area. Results Postoperative pathological examination showed "pigmented nevus" in 9 patients.The flaps of the 9 patients survived in the first stage. The color, texture and eyebrow shape of the flaps were close to the healthy side. The scars were concealed, the eyebrows were not deformed, the appearance was beautiful, and the appearance was satisfactory. All patients were followed up for more than 1 year, the tumor did not recur, the eyebrows grew well, and the eyebrows on the flap did not fall off. Conclusion The musculocutaneous flap is effective in the resection of the eyebrow tumors. The reasonable preoperative design not only repairs the eyebrow defect, but also maintains the eyebrow shape. The operation is not difficult and the success rate is high. It is a good method for clinical selection.
引文
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[14]Lee HI,Ha SH,Yu SO,et al.Reverse sural artery island flap with skin extension along the pedicle[J].J Foot Ankle Surg,2016,55(3):470-475.DOI:10.1053/j.jfas.2015.07.014.
[15]彭庆星.美容文饰术的医学归属不可动摇[J].中国美容医学,2016,25(8):95-96.DOI:10.15909/j.cnki.cn61-1347/r.001307.
[2]张所涛,宋作涛,孙慧明,等.眼外伤眉缺损治疗1例[J].眼科学报,2018,33(2):128-131. DOI:10.3978/j.issn.1000-4432.2018.04.02
[3]王鑫,吴德富,王业本,等.带指侧方血管神经束的V-Y推进皮瓣修复指端缺损[J].中华手外科杂志,2016,32(5):346-347.DOI:10.3760/cma.j.issn.1005-054X.2016.05.011
[4]庄淑波,及跃男,赵娜,等.改良Dufoumental菱形皮瓣结合美学原理修复面部皮肤缺损[J].中国美容医学,2018,27(9):53-55.DOI:10.15909/j.cnki,cn61-1347/r.002583
[5]张驰,唐修俊,王达利,等.风筝皮瓣在眉弓部良性肿瘤切除术后创面美容亚单位的美学修复[J].中华整形外科杂志,2017,33(1):12-15. DOI:10.3760/cma.j.issn.1009-4598.2017.01.004
[6]郑永生,孙强,马涛,等.眼轮匝肌蒂推进皮瓣在眼睑缺损修复中的应用[J].中华整形外科杂志,2016,32(1):18-20.DOI:10.3760/cma.j.issn.1009-4598.2016.01.005
[7]刘玲,杜太超.眉毛缺损的整形外科修复[J].中华医学美学美容杂志,2016,22(1):63-64.DOI:10.3760/cma.j.issn.1671-0290.2016.01.021
[8]宋儒耀,方彰林.美容整形外科学[M].北京:北京出版社,2002:574-575.
[9]Lim DS,Lee DH,Kim SH,et al.Cervicofacial flap:can we save patient's sideburns?[J].Arch Craniofac Surg,2017,18(3):172-178.DOI:10.7181/acfs.2017.18.3.172
[10]史俊虎,刘杉,王健民,等.经眉切口SMAS提升术矫治上睑松弛的临床研究[J].中国医疗美容,2016,6(9):1-3.
[11]齐向东,周婕.内窥镜辅助中面部提升术的颞区解剖学研究[J].中国美容医学,2017,26(6):7-10.
[12]赵玉明,张海明,林煌,等.眉部运动的显微外科解剖学研究及其临床意义[J].中国临床解剖学杂志,2003,21(3):200-203.DOI:10.3969/j.issn.1001-165X.2003.03.003.
[13]郑晓东,陈立,黄辉强,等.微型动脉化静脉皮瓣修复50例指端皮肤缺损[J].中华显微外科杂志,2016,39(2):188.DOI:10.3760/cma.j.issn.1001-2036.2016.02.027.
[14]Lee HI,Ha SH,Yu SO,et al.Reverse sural artery island flap with skin extension along the pedicle[J].J Foot Ankle Surg,2016,55(3):470-475.DOI:10.1053/j.jfas.2015.07.014.
[15]彭庆星.美容文饰术的医学归属不可动摇[J].中国美容医学,2016,25(8):95-96.DOI:10.15909/j.cnki.cn61-1347/r.001307.