CAJ | 학술논문

目的：探讨颏下动脉岛状瓣在修复颜面部软组织缺损中的应用。方法2007年7月至2014年3月，收治颜面部软组织缺损患者10例，其中外伤2例，面部鳞癌4例，面部基底细胞癌1例，烫伤或烧伤后瘢痕增生3例。根据缺损位置及大小设计颏下动脉岛状瓣进行修复，最小为3 cm×6 cm，最大为4 cm×10 cm。结果术后皮瓣存在不同程度的肿胀苍白及淤血，5 d后逐渐改善。1例皮瓣远端出现坏死，经换药处理愈合。术后随访3~12个月，3例供皮区采用全厚皮覆盖创面，随访期间发现皮片不同程度收缩。其余受区外观及功能均较满意，供区瘢痕隐蔽。结论颏下动脉岛状瓣与面部软组织在质地、颜色上非常相似，皮瓣血供可靠，成活率高，是修复颜面部软组织缺损的较好选择。
목적：탐토해하동맥도상판재수복안면부연조직결손중적응용。방법2007년7월지2014년3월，수치안면부연조직결손환자10례，기중외상2례，면부린암4례，면부기저세포암1례，탕상혹소상후반흔증생3례。근거결손위치급대소설계해하동맥도상판진행수복，최소위3 cm×6 cm，최대위4 cm×10 cm。결과술후피판존재불동정도적종창창백급어혈，5 d후축점개선。1례피판원단출현배사，경환약처리유합。술후수방3~12개월，3례공피구채용전후피복개창면，수방기간발현피편불동정도수축。기여수구외관급공능균교만의，공구반흔은폐。결론해하동맥도상판여면부연조직재질지、안색상비상상사，피판혈공가고，성활솔고，시수복안면부연조직결손적교호선택。
Objective To explore the application of the submental artery island flap in repairing facial soft tissue defect. Methods From July 2007 to 2014, 10 cases with facial soft tissue defect were admitted in this study. Primary lesions in-cluded trauma (2 cases), buccal mucosa squamous cell carcinoma (SCC, 4 cases), buccal basal cell carcinoma (BCC, 1 case), and scar hyperplasia caused by burning or scalding (3 cases). Flaps ranging from 3 cm ×6 cm to 4 cm×10 cm were designed according to the size and location of the facial defects to repair facial soft tissue defects. Results Pale, swell and/or conges-tion were observed in all flaps postoperative, but the situation improved 5 days later. Partial necrosis was observed in 1 case but healed by dressing. All the patients were followed up for 3-12 months, full thickness skin which was used to cover the donor-site in 3 cases shrank inordinately during followed-up. Appearance and functions of the recipient site were satisfacto-ry. The scar of the donor-sites was not conspicuous. Conclusion The submental artery island flap is similar with the facial soft tissue on color and texture, and it offers the advantages of simplicity, reliability and aesthetic result, so it is an excellent choice for repairing facial defects and deformity.