摘要
目的:为头皮巨大肿物切除后形成的近似圆形缺损,寻求一种较简便安全、损伤小的一期修复方法。方法:在直径5~10cm的头皮缺损区周围,选择、设计双侧旋转皮瓣,剥离后将皮瓣旋转移位修复创面,供区拉拢缝合。自1996年6月~2006年10月共修复58例。结果:术后皮瓣全部成活,伤口均I期愈合。其中49例获随访1~6年,病变无复发,修复区头发生长良好,瘢痕不显露。结论:双侧旋转皮瓣一期修复中等大小的头皮缺损,可充分利用邻近的头皮组织,设计灵活,操作简单,创伤相对较小,术后不遗留秃发,瘢痕不显露。
Objective To seek a simple,safe,less trauma,imbaldness and efective method for the instant repair of scalp defects either after the excision of a head tumor or cicatricial alopecia areata. Methods Around the region with scalp defects, double rotation flaps are designed and made on the selected side. The flaps are rotated to repair the defects of scalp,and then the donor sites will be closed directly. From June 1998 to June 2004.there were 58 cases treated. Results All flaps survived after operation.Followed up in the next 1 to 6 years, the local tumors have not recurrence. Cicatrices do not reveal and hair grows we adjacent scalp tissues,flexible design.simple unreveating. Conclusion This method has the following characteristics: full utilization of operation, less trauma, Postoperation no alopecia areata, and cicatrices unreveating.
出处
《中国美容医学》
CAS
2008年第6期785-786,共2页
Chinese Journal of Aesthetic Medicine
关键词
双侧旋转皮瓣
头皮肿物
创面
double rotation flaps
scalp tumor
raw surface