胸三角皮瓣修复半侧颜面萎缩的临床研究

杨晓惠　陈强　李容石　蔡　群

杨晓惠,1952年生,1980年毕业于白求恩医科大学医疗系;现任全军医学美容中心北京黄寺美容外科医院科研部副主任,主治医师;香港科学院国际医学研究院研究员;主编《实用整容外科手术学》《医学美容与相关皮肤病》《美容整容顾问》等8部著作;获军队科技进步3等奖5项;发表论文30多篇。摘要目的:治疗半侧颜面萎缩与面颊部凹陷畸形。方法:采用加长的远端去表皮的胸三角皮瓣充填治疗半侧颜面萎缩与面颊部凹陷16例。结果:16例均取得理想的治疗效果,除供区有延迟愈合(2例)外,皮瓣无感染坏死现象,外形均获明显改善。结论:这种方法对治疗半侧颜面萎缩与面颊部凹陷畸形有较好的治疗效果,值得推广应用。

关键词胸三角皮瓣半侧颜面萎缩充填

CLINICAL STUDY ON THE RECONSTRUCTION HALF睩ACIAL ATROPHY

AND HOLLOW OF FACE DEFORMITY WITH DELTOPECTORAL FLAP

Yang Xiaohui,Chen Qang,Li Rongshi,Cai Qun

Huang Si Aesthetic Surgery Hospital of Beijing,(Beijing 100011)

AbstractObjective:To solve and treatment the half瞗acial atrophy and seriously facial hollow and defect of tissue.Methods:To drive our epidermarl of the end on the longer Deltopectoral flap have been used to reconstruct the half瞗acial atrophy and hollow of face and deformity including16 patients. Results:All the 16 patients have been made cured,except 2 case who is slower healed on the to provide area of flap,and All flap been without infection and necrosis,appearances was improved by obriously.Conclusion:The method have been good result,As far as facial hollow and defect of this patients,It was worth to pursue.

Key words Deltopectoral flapHalf睩acial atrophyFill in

半侧颜面萎缩又称Romberg综合征,是一种慢性颜面部组织(皮肤、皮下组织、肌肉、骨)进行性萎缩性疾病,7%的患者有一侧躯干或肢体的萎缩症状。发病机制尚不明了.,主要有感染、神经、外伤等学说。在治疗上以组织充填为主,近十年我们采用加长的远端去表皮的胸三角皮瓣进行修复,取得理想效果,报告如下。

1临床资料ケ咀16例,男5例,女11例,年龄17岁～28岁;左侧7例,右侧9例;病因:小时感冒发烧5例;外伤后6例;面部有感染史3例;不明原因2例。

2手术方法

2.1胸三角皮瓣的设计上界为锁骨下线,下界相当于第五肋间。宽度10cm～15cm,外界于乳头上3cm向外延伸,最长可达肩峰,内界为胸骨缘外侧约2cm,1～4肋间,外界可根据需要达肩峰甚至超出肩峰;皮瓣长度20cm～26cm.⁽¹⁾。……