CAJ | 학술논문

目的：研究在皮瓣远端进行血管吻合对皮瓣静脉回流障碍的作用。方法：首先采集相关临床资料数据。手术采用一期置入额部扩张器，二期取出扩张器并将额部皮瓣以单侧颞浅血管蒂转移至面部受区，吻合组额部皮瓣的远端颞浅血管蒂吻合于受区血管，未吻合组则不进行血管吻合。结果：吻合组皮瓣未出现静脉回流障碍，未吻合组均出现明显的远端静脉回流障碍及坏死。结论：吻合远端血管束的额部皮瓣可以明显改善皮瓣远端静脉回流障碍。
목적：연구재피판원단진행혈관문합대피판정맥회류장애적작용。방법：수선채집상관림상자료수거。수술채용일기치입액부확장기，이기취출확장기병장액부피판이단측섭천혈관체전이지면부수구，문합조액부피판적원단섭천혈관체문합우수구혈관，미문합조칙불진행혈관문합。결과：문합조피판미출현정맥회류장애，미문합조균출현명현적원단정맥회류장애급배사。결론：문합원단혈관속적액부피판가이명현개선피판원단정맥회류장애。
Objective This article aims to present an application of the distal supercharged expanded forehead flap procedure for hemi-facial reconstruction and discuss the haemodynamics of the expanded forehead flap. Methods The tissue expander implantation and the following forehead tissue expansion were performed regularly.When the forehead skin expansion was completed,an expanded forehead flap was created and transferred to the damaged facial area with one distal temporal vessel pedicle that was anastomosed with facial vessels in a supercharged way.All patients were analysed retrospectively. Results The anastomosis group had no venous reflux obstruction, and the distal venous reflux obstruction and necrosis occurred in the non anastomosis group. Conclusion The distal vascular bundle of the forehead skin flap can significantly improve the distal venous return disturbance of the skin flap.