CAJ | 학술논문

目的探讨改良桡动脉穿支皮瓣在修复额面部中小面积缺损中的临床应用.方法以桡动脉腕上皮支动脉和桡动脉伴行静脉为蒂.通过筋膜蒂营养的前臂近端桡侧皮瓣(最大面积10 cm×5 cm),游离移植修复额面部肿瘤切除后的组织缺损10例.结果修复额部缺损6例,面颊都缺损4例,术后皮瓣全部存活,经随访6～12个月后行皮瓣修薄整形术.10例病例经8～18个月随访,平均随访11.3个月,其中7例于术后6～9个月进行二次整形.所有病例皮瓣柔软,瘢痕不明显,皮色与面颊部基本接近,皮瓣两点分辨率在20～40mm.结论改良的前臂桡动脉穿支皮瓣是修复额面部中小面积缺损的主要方法之一.
목적 탐토개량뇨동맥천지피판재수복액면부중소면적결손중적림상응용.방법 이뇨동맥완상피지동맥화뇨동맥반행정맥위체.통과근막체영양적전비근단뇨측피판(최대면적10 cm×5 cm),유리이식수복액면부종류절제후적조직결손10례.결과 수복액부결손6례,면협도결손4례,술후피판전부존활,경수방6～12개월후행피판수박정형술.10례병례경8～18개월수방,평균수방11.3개월,기중7례우술후6～9개월진행이차정형.소유병례피판유연,반흔불명현,피색여면협부기본접근,피판량점분변솔재20～40mm.결론 개량적전비뇨동맥천지피판시수복액면부중소면적결손적주요방법지일.
Objective In attempt to improve the reconstruction of small defects in the facial and frontal regions, we developed a modified radial artery perforator-based free flap. Methods The free proxi-mal radial forearm flap was based on the distal perforator of the radial artery and the concomitant radial vein. The vascular pedicle passed through deep fascia. The free flap was transferred to repair the defects of the fa-cial and frontal regions. Results In 6 patients with frontal defects and 4 patients with facial defects, all flaps survived completely. After following up for 6-12 months, flaps underwent plastic surgery to become thin-ner. The flaps of 10 cases were good in skin texture and color at recipient sites. The scars were cosmetically acceptable. The superficial sensibility recovered well. Conclusion A modified radial artery perforator-based free flap was useful in coveting small defects of the facial and frontal regions.