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SMAS蒂皮瓣在面部外伤一期修复中的应用

于海生,韦强,陈石海,廖明德   

  1. 广西医科大学第一附属医院整形美容外科
  • 收稿日期:2010-03-01 修回日期:2010-03-24 出版日期:2010-11-15 发布日期:2010-11-15
  • 通讯作者: 于海生

Application Of The Flap By SMAS Pedicle For Immediat Repair Of Facial Soft Tissue Defects After Accident

  • Received:2010-03-01 Revised:2010-03-24 Published:2010-11-15 Online:2010-11-15

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摘要： 摘要 目的:探讨SMAS（表浅肌肉筋膜系统）蒂皮瓣在面部外伤至皮肤软组织缺损一期修复中的应用。方法:根据面部缺损皮肤形状及面积大小在面部亚单元分区的边缘设计以SMAS为蒂的皮瓣,用于面部外伤至皮肤软组织缺损的一期修复,最大皮瓣7.5cm ×4.5 cm。结果:15例面部外伤至皮肤缺损病人应用同侧SMAS蒂皮瓣修复创面, 术后皮瓣全部成活,经6个月到2年随访，发现皮瓣与周围皮肤组织在色泽、质地等方面较匹配,切口瘢痕平软而且较隐蔽。面部的轮廓及视觉效果良好,其形态及美学效果均满意。结论: SMAS蒂皮瓣在设计上遵循了面部亚单元分区原则，而且血供丰富,手术简单安全,是创伤导致面部中小面积皮肤软组织缺损创面一期修复的理想选择。

关键词: 表浅肌肉筋膜系统, 外科皮瓣, 皮肤移植, 面部皮肤缺损

Abstract: [ Abstract] Objective: To explore the application of the flap supported by SMAS （superficial muscle aponeurosis system） pedicle for the immediate repair of the facial soft tissue defect after accident. Methods: The flap supported by SMAS pedicle were designed at the edge of a facial subregion and were used for the immediate repair of the facial soft tissue defect after accident. The biggest area of the transplanted flaps was 7.5cm ×4.5 cm. Results: All transplanted flaps survived well without any obvious complications，and were all matched with the surrounding tissue in texture and colouration.The donor-site incision lines were obscured， facial contour and appearance were good , and cosmetic results were satisfactoring. Conclusions: Based on the principles of facial aesthetic subregions ,use of the flap supported by SMAS pedicle with sufficient blood supply is easily completed and is an ideal choice in immediate repair of a middling or small areas of facial soft tissue defect after accident

Key words: Superficial muscle aponeurosis system, Surgical flaps, Skin transplantation, Facial soft tissue defect