CAJ | 학술논문

目的：探讨“风筝”皮下蒂皮瓣在面部皮肤缺损中的应用的临床效果。方法自2012年3月～2013年10月来我院应用“风筝”皮下蒂皮瓣治疗的面部皮肤肿瘤患者8例。按病变组织的形状将行圆形或椭圆形切除,于缺损的一侧设计、形成以基底部皮下组织为蒂的皮瓣或以两侧皮下组织为蒂的皮瓣,推进覆盖缺损部位。结果本组病例术后7天拆线，8例患者的皮瓣全部成活。无面部器官移位变形出现。术后随访3个月至1年,切口瘢痕不明显，外观满意，皮瓣颜色与周围正常皮肤相近。结论此方法具有操作简单、皮瓣的血运可靠及转动灵活、愈后切口瘢痕不明显等优点,是修复各种原因导致中等大的面部部皮肤缺损比较理想的手术方法。
목적：탐토“풍쟁”피하체피판재면부피부결손중적응용적림상효과。방법자2012년3월～2013년10월래아원응용“풍쟁”피하체피판치료적면부피부종류환자8례。안병변조직적형상장행원형혹타원형절제,우결손적일측설계、형성이기저부피하조직위체적피판혹이량측피하조직위체적피판,추진복개결손부위。결과본조병례술후7천탁선，8례환자적피판전부성활。무면부기관이위변형출현。술후수방3개월지1년,절구반흔불명현，외관만의，피판안색여주위정상피부상근。결론차방법구유조작간단、피판적혈운가고급전동령활、유후절구반흔불명현등우점,시수복각충원인도치중등대적면부부피부결손비교이상적수술방법。
Objective To introduce a method for repairing facial skin defects with the kite flap on a subcutaneous pedicle. Methods Since Martch 2012, the kite flap on a subcutaneous pedicle have been used to repair skin defects due to excision of the facial lesion in 8 patients. According to the shape of the lesion, the lesion was excised with circle or ellipse, and the kite flap with central or lateral subcutaneous pedicle was designed for repair of the facial defect. The width of flapwas shorter than the diameter of the defect, or equal to it. The length of flap was 1.5~2.0 times as long as the diameter of the defect. Results After operation,all flaps survived with primary healing, cosmetic results were satisfactory after more than 3 months following -up. Conclusion This method is simple and excellent. The flap is flexible for transfer and it is abundant in blood supply. The incision scars are less formative. It is a particularly ideal method for the facial skin defects which are small and can not be sutured directly.