论文部分内容阅读
目的:评价对侧逆行内眦动脉瓣用于修复面中部皮肤癌术后中到大型缺损的可行性。方法:12例面中部皮肤癌患者,男9例,女3例,年龄55～76岁。其中,基底细胞癌7例,鳞状细胞癌4例,恶性黑色素瘤1例。手术切除肿瘤后,采用对侧逆行内眦动脉岛状皮瓣修复缺损。缺损大小为3.0cm×3.0cm～5.0cm×7.0cm,皮瓣大小为2.0cm×4.0cm～4.0cm×6.0cm。结果:12例移植皮瓣均成活,随访6～12个月,平均8.5个月。多数皮瓣血供良好,功能正常,色泽、质地良好,术后供区瘢痕隐蔽。结论:对侧逆行内眦动脉瓣修复面中部皮肤癌术后中到大型缺损简单、安全,疗效稳定。
OBJECTIVE: To evaluate the feasibility of the use of a contralateral retrograde iliac artery valve for the repair of mid- to large-scale defects in mid-facial skin cancers. Methods: There were 12 patients with middle facial skin cancer, including 9 males and 3 females, aged 55-76 years old. Among them, there were 7 cases of basal cell carcinoma, 4 cases of squamous cell carcinoma, and 1 case of malignant melanoma. After surgical resection of the tumor, the defect was repaired using a contralateral retrograde radial artery island flap. The size of the defect was 3.0 cm×3.0 cm to 5.0 cm×7.0 cm, and the flap size was 2.0 cm×4.0 cm to 4.0 cm×6.0 cm. Results: All 12 flaps survived and were followed up for 6 to 12 months with an average of 8.5 months. Most of the flaps had good blood supply, normal function, good color and texture, and scars concealed after the donor site. Conclusion: The contralateral retrograde internal iliac arterial flap is a simple, safe and stable treatment for the repair of mid-to-large defect in skin cancer in the middle of the face.