CAJ | 학술논문

目的探索依据整形外科原则应用局部皮瓣急诊修复面部创伤性软组织缺损的效果.方法对32例面部皮肤软组织即时性创伤性缺损,于严格清创后,根据创面缺损情况,按整形外科原则分别设计皮下浅表肌腱膜系统(SMAS)蒂皮瓣、V-Y推进皮瓣、眼轮匝肌蒂岛状皮瓣、鼻唇沟皮瓣等修复创面,精细缝合关闭伤口.结果 32例伤口均Ⅰ期愈合,随访6～18个月,无明显瘢痕增生,无功能障碍,无需Ⅱ期修复,美容效果良好.结论遵照整形外科基本原则采用局部皮瓣修复面部创伤性皮肤软组织缺损,可获得满意的效果,值得临床推广应用.
목적 탐색의거정형외과원칙응용국부피판급진수복면부창상성연조직결손적효과.방법 대32례면부피부연조직즉시성창상성결손,우엄격청창후,근거창면결손정황,안정형외과원칙분별설계피하천표기건막계통(SMAS)체피판、V-Y추진피판、안륜잡기체도상피판、비진구피판등수복창면,정세봉합관폐상구.결과 32례상구균Ⅰ기유합,수방6～18개월,무명현반흔증생,무공능장애,무수Ⅱ기수복,미용효과량호.결론 준조정형외과기본원칙채용국부피판수복면부창상성피부연조직결손,가획득만의적효과,치득림상추엄응용.
Objective To explore the procedures of reconstruction emergency for skin and soft tisue defects due to trauma with local flap based on plastic surgical principles and techniques.Methods Thirty-two patients with facial defects caused by tramua were treated.After strict debridement of the wound of the skin and soft tissue,the flaps were designed according to the wound condition with plastic surgical principles.Subcutaneous SMAS pedicle flap,V-Y advancement flap,orbicularis flap,nasolabial groove flaps and others were chosen for wound repair,to suture and close the wound meticu lously.Results All of 32 treated cases,the wounds were primary healing.After 6-18 months follow-up,there was no obvious scar formation or functional problems.Second stage reconstruction was not needed since the cosmetic effect was perfect.Conclusions It is a satisfactory and effective method to emergently treat the skin and soft tissue defects after facial trauma with local flap based on the plastic surgical principles,which is well worth popularizing in clinic.