CAJ | 학술논문

目的探讨颜面部筋膜蒂皮瓣修复颜面部皮肤软组织缺损的临床效果。方法48例患者,其中颜面部皮肤肿瘤20例,外伤缺损伤8例,色素痣9例,溃疡6例,瘢痕3例,瘢痕合并组织凹陷2例,缺损面积最小1.0 cm×1.0 cm,最大4.0 cm×3.0 cm,所有病例均应用颜面部筋膜蒂皮瓣进行修复。结果本组48例,皮瓣面积最大为5.0 cm×3.5 cm,最小为1.5 cm×1.2 cm,蒂宽1.0~3.0 cm,皮瓣全部成活。随访6~12个月,颜面部外观满意。结论本方法具有良好的美学效果,颜面部外形美观、皮瓣成活率高、供区就近取材、切口隐蔽且瘢痕小等优点。
목적탐토안면부근막체피판수복안면부피부연조직결손적림상효과。방법48례환자,기중안면부피부종류20례,외상결손상8례,색소지9례,궤양6례,반흔3례,반흔합병조직요함2례,결손면적최소1.0 cm×1.0 cm,최대4.0 cm×3.0 cm,소유병례균응용안면부근막체피판진행수복。결과본조48례,피판면적최대위5.0 cm×3.5 cm,최소위1.5 cm×1.2 cm,체관1.0~3.0 cm,피판전부성활。수방6~12개월,안면부외관만의。결론본방법구유량호적미학효과,안면부외형미관、피판성활솔고、공구취근취재、절구은폐차반흔소등우점。
Objective To discuss clinical effect of facial skin soft tissue defects reparation with facial fascio-cutaneous flaps. Methods Out of 48 patients in our hospital, 20 cases of facial skin tumors, 8 cases of traumatic defects, 9 cases of pigmented nevus, 6 cases of anabrosis, 3 cases of scars, 2 cases of scars together with tissue depression. The minimum area of defect was 1.0 cmx1.0 cm and the maximum area was 4.0 cm x 3.0 cm. All of these cases were treated with facial fascio-cutaneous flaps for reparation. Results In these 48 cases, the maximum area of fascio-cutaneous flaps was 5.0×3.5cm, and the minimum area was 1.5 cm×1.2 cm. The width of the pedicle was 1.0~3.0 cm. All of the fascio-cutaneous flaps survived. 6~12 months of follow-up, the appearance of the faces were satisfied. Conclusion The advantages of this method are obvious, including the good aesthetic effects and the aesthetic facial appearance with hidden incision and small scar. The survival rate of fascio-cutaneous flaps is high. The material supply area can be more easily achieved from the operated patient nearby.