CAJ | 학술논문

目的探讨应用斧形皮瓣修复眶周皮肤软组织缺损的疗效和优越性.方法 21例眶周皮肤病变患者病灶切除术后,根据缺损部位、面积、形状及邻近皮肤情况设计邻位或易位斧形皮瓣,行Ⅰ期修复术.病变范围最大面积为3.5 cm×4.5 cm,最小为1.2 cm×1.5 cm.斧形皮瓣斧蒂宽∶斧柄长最大达1∶5,斧蒂宽∶斧刃缘长最大达1∶4.结果 21例斧形皮瓣术后全部存活良好,手术切口Ⅰ期愈合.18例患者随访3～12个月,无眼睑、眉、鼻梁等受牵扯移位变形,皮瓣肤色、质地、厚度等与邻近部位皮肤相近,无明显差异,瘢痕程度轻,美容效果满意.结论根据眶周不同区域自然皮纹线特征,应用不同形式的斧形皮瓣修复较大横径的眶周皮肤软组织缺损,设计灵活,制作简便,皮瓣存活良好,能获得功能与形态双重满意效果.
목적 탐토응용부형피판수복광주피부연조직결손적료효화우월성.방법 21례광주피부병변환자병조절제술후,근거결손부위、면적、형상급린근피부정황설계린위혹역위부형피판,행Ⅰ기수복술.병변범위최대면적위3.5 cm×4.5 cm,최소위1.2 cm×1.5 cm.부형피판부체관∶부병장최대체1∶5,부체관∶부인연장최대체1∶4.결과 21례부형피판술후전부존활량호,수술절구Ⅰ기유합.18례환자수방3～12개월,무안검、미、비량등수견차이위변형,피판부색、질지、후도등여린근부위피부상근,무명현차이,반흔정도경,미용효과만의.결론 근거광주불동구역자연피문선특정,응용불동형식적부형피판수복교대횡경적광주피부연조직결손,설계령활,제작간편,피판존활량호,능획득공능여형태쌍중만의효과.
Objective To discuss the efficacy and advantage of dolabriform flap in repairing periorbital skin and soft tissue defects.Methods 21 patients with periorbital skin disease were treated by radical resection,and then the adjacent or distant dolabriform flaps were designed for the one stage repair of skin and soft tissue defects in these cases according to the defect location,size,shape and neighborous skin conditions.The largest defect size was 3.5 cm × 4.5 cm,The smallest defect size was 1.2 cm × 1.5 cm.The largest ratio of hatchet pedicle width to axe handle length reached 1 ∶ 5,and the largest ratio of hatchet pedicle width to hatchet edge length was 1 ∶ 4.Results All of these dolabriform flaps in 21 patients survived well with primary incision healing.18 cases had been followed up for 3 to 12 months,showing that there was no deformation found on eyelids,eyebrow and nose,the colour of these flaps were similiar to that of the normal skin,without being fat and clumsy,all scars were almost invisible,and the cosmetic results were satisfactory.Conclusions Larger diameter of skin and soft tissue defect in different periorbital parts could be repaired individually with dolabriform flap according to the characters of natural lines,and it is a simple and flexible method for repairing periorbital skin defects,and can achieve satisfactory functional and cosmetic results.