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为解决颌颈部瘢痕的功能和外观问题,1990年以来应用窄蒂颈浅动脉薄皮瓣修复13例。皮瓣最大面积22cm×10cm,蒂宽3~5cm。断蒂时间7~10天。1例皮瓣远端1/3坏死,2例远端早期出现水泡,3~5天后渐转红润,其余均成活良好。随访半年至2年,外形良好。该皮瓣与颌颈部色泽相近,蒂窄,穿支较恒定,供瓣面积大,供区隐蔽,皮瓣修薄后减少对蒂部血供依赖性,断蒂早,缩短疗程。笔者认为该皮瓣是颌颈部缺损修复较理想的方法
In order to solve the problem of the function and appearance of the neck and neck of the maxillofacial region, 13 cases were treated with thin-skinned flaps pedicled with narrow pedicled trochanter since 1990. The largest flap area 22cm × 10cm, pedicle width 3 ~ 5cm. Broken pedicle time 7 to 10 days. 1 case of distal necrosis of the flap, 2 cases of early distal blisters, 3 to 5 days after the turn ruddy, the other survived well. Follow-up six months to two years, good shape. The flap with jaw color similar to the neck, narrow pedicle, perforating branches more constant for the large area of the valve for the area hidden, thinning the flap to reduce the blood supply to the pedicle, early pedicle, shorten the course of treatment. I believe that the flap is a better method of jaw and neck defect repair