中国麻风皮肤病杂志 ›› 2021, Vol. 37 ›› Issue (2): 110-112.doi: 10.12144/zgmfskin202102110

• 临床研究 • 上一篇    下一篇

改良菱形皮瓣修复颧颊部皮肤缺损

梁钢,田松柏   

  1. 浙江绍兴第二医院暨浙医一院绍兴分院整形美容科，绍兴，312000
  • 出版日期:2021-02-15 发布日期:2021-02-03
  • 通讯作者: 梁钢，E-mail: tianyiliangyuan@163.com

The modified rhomboid flap in resurfacing the zygomatic or buccal skin and soft-tissue defect

LIANG Gang, TIAN Songbai   

  1. Department of Plastic and Aesthetic Surgery, The Second Hospital of Shaoxing City, Shaoxing 312000, China
  • Online:2021-02-15 Published:2021-02-03
  • Contact: LIANG Gang, E-mail: tianyiliangyuan@163.com

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摘要： 目的：评价改良菱形皮瓣修复颧部及颊部皮肤病变切除后缺损的效果。方法：患者皮肤病变切除后，于颧部或颊部邻近部位设计并切取改良菱形皮瓣，予以旋转推进修复。结果：自2017年2月至2019年12月，应用改良菱形皮瓣修复颧颊部皮肤缺损15例，男9例、女6例，年龄6～80岁。病变包括色素痣6例，疣状增生物4例，脂溢性角化病3例，鲍温病2例。术后皮瓣成活良好，切口一期愈合。12例随访2~12个月，皮肤病变均无复发，皮瓣色泽、质地较好，厚薄适中，切口瘢痕不显。结论：改良菱形皮瓣修复颧颊部皮肤缺损效果好。

关键词: 外科皮瓣, 组织缺损, 面部

Abstract: Objective: To access the efficacy of a modified rhomboid flap in resurfacing the zygomatic or buccal skin and soft tissue defect. Methods: After a dermal lesion had radically been resected, a modified rhomboid flap was designed and taken to resurface the defect. Results: From February 2017 to December 2019, a total of 15 cases, including 9 males and 6 females with the age from 11 to 72, were treated by modified rhomboid flaps. The primary lesions included pigmented nevus in 6 cases, verrucous proliferators in 4, seborrheic keratosis in 3 and Bowen's disease in 2. All the flaps survived and the incision healed by first intension. Twelve patients were followed up for 2-12 months. There was no tumor reoccurred. The color and texture of the flaps were similar to the normal skin without obvious scar hyperplasia. Conclusion: The modified rhomboid flap in resurfacing the zygomatic or buccal skin and soft tissue defect is effective.

Key words: surgical flaps, soft tissue defect, face