التفاصيل البيبلوغرافية
| العنوان: |
[Application of V-Y advancement flap with facial artery perforator for the repair of midface skin defects]. |
| المؤلفون: |
Xu XJ; Department of Head and Neck Surgery, Affiliated Cancer Hospital of Nantong University, Nantong 226361, China., Tang MM; Department of Head and Neck Surgery, Affiliated Cancer Hospital of Nantong University, Nantong 226361, China., Chen QW; Department of Head and Neck Surgery, Affiliated Cancer Hospital of Nantong University, Nantong 226361, China., Shi JT; Department of Head and Neck Surgery, Affiliated Cancer Hospital of Nantong University, Nantong 226361, China., Han L; Department of Head and Neck Surgery, Affiliated Cancer Hospital of Nantong University, Nantong 226361, China., Jiang B; Department of Head and Neck Surgery, Affiliated Cancer Hospital of Nantong University, Nantong 226361, China. |
| المصدر: |
Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery [Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi] 2024 Mar 07; Vol. 59 (3), pp. 238-242. |
| نوع المنشور: |
English Abstract; Journal Article |
| اللغة: |
Chinese |
| بيانات الدورية: |
Publisher: Zhonghua yi xue hui za zhi she Country of Publication: China NLM ID: 101247574 Publication Model: Print Cited Medium: Print ISSN: 1673-0860 (Print) Linking ISSN: 16730860 NLM ISO Abbreviation: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: Beijing : Zhonghua yi xue hui za zhi she, 2005- |
| مواضيع طبية MeSH: |
Plastic Surgery Procedures* , Perforator Flap*/blood supply , Soft Tissue Injuries*/surgery , Skin Neoplasms*/surgery , Skin Neoplasms*/pathology, Male ; Female ; Humans ; Retrospective Studies ; Skin Transplantation/methods ; Treatment Outcome ; Arteries |
| مستخلص: |
Objective: To investigate the efficacy of V-Y advancement flap with facial artery perforator for the repair of midface skin defects. Methods: A retrospective analysis was performed on 18 patients with facial skin cancer, including 11 males and 7 females, aged 65-83 years, who underwent the repair of midface skin defects using V-Y advancement flap with facial artery perforator in the Department of Head and Neck Surgery, Affiliated Cancer Hospital of Nantong University from January 2020 to April 2023. Medium, large or complex midface skin defects developed after surgical resections of the primary lesions. According to the defect site, size, location information of facial vessels, a V-Y advancement flap with appropriate shape was designed for each case. During the operation, the facial vessels and their perforators were retained in the pedicle of the flap, the facial nerve branches were dissected and protected, and the further denuded pedicle was determined according to actual amount of advancement. After the flap was advanced, the facial defect area was repaired without tension, and the anatomical positions and functions of the eyes, nose and mouth were restored as far as possible. Postoperative follow-ups were conducted to observe the survival rate of the flaps, postoperative complications, recurrences and metastases of tumors. Results: Midface defects of 3.0 cm×3.5 cm-6.5 cm×7.5 cm were observed after tumor resections, which involved one or more subregions. The sizes of the flaps were 3.5 cm×9.0 cm-7.0 cm×18.0 cm. All flaps were completely alive except for one with temporary local bruising. With following-up of 4-40 months, 5 of the 12 patients with lower eyelid and inner canthus invasions had lower eyelid ectropion, but no exposed keratitis was found; one case with poorly differentiated squamous cell carcinoma had lymph node metastasis in the submandibular region and underwent neck dissection again; no recurrence or metastasis occurred in the remaining cases. Conclusion: The V-Y advancement flap with facial artery perforator can be used to repair medium, large or complex midface skin defects, with a high survival rate, and the operation method is safe and reliable. |
| معلومات مُعتمدة: |
MS2022047, MSZ2022027 Research Project of Nantong Municipal Health Commission |
| فهرسة مساهمة: |
Local Abstract: [Publisher, Chinese] 目的： 探讨应用面动脉穿支V-Y推进皮瓣修复中面部皮肤缺损的方法及临床效果。 方法： 回顾性分析2020年1月至2023年4月就诊于南通大学附属肿瘤医院头颈外科的18例面部皮肤癌患者，男性11例，女性7例，年龄65~83岁。原发灶切除后形成中大型或复合型中面部皮肤缺损，根据缺损部位、大小及面动静脉定位信息，设计适当形状的面动脉穿支V-Y推进皮瓣。术中将面动、静脉主干及其穿支保留于皮瓣蒂部，解剖保护好面神经分支，根据实际所需推进量决定是否进一步裸化血管蒂，皮瓣推进后无张力修复中面部缺损区。术后随访，观察皮瓣成活情况、并发症、肿瘤复发转移情况。 结果： 肿瘤切除后缺损面积为3.0 cm×3.5 cm~6.5 cm×7.5 cm，缺损累及一个或多个亚区；皮瓣大小为3.5 cm×9.0 cm~7.0 cm×18.0 cm。术后除1例患者皮瓣出现暂时性局部瘀青外，所有皮瓣均完全成活。术后随访4~40个月，在12例病变侵及下眼睑、内眦的患者中，5例出现下睑外翻，均未出现暴露性角膜炎。随访期内1例低分化鳞状细胞癌患者出现颌下区淋巴结转移，再次行颈淋巴清扫术，其余未出现复发或转移。 结论： 面动脉穿支V-Y推进皮瓣可以很好地修复中面部各种中大型及复合型皮肤缺损，皮瓣成活率高，手术方式安全可靠。. |
| تواريخ الأحداث: |
Date Created: 20240401 Date Completed: 20240403 Latest Revision: 20240403 |
| رمز التحديث: |
20240403 |
| DOI: |
10.3760/cma.j.cn115330-20230814-00046 |
| PMID: |
38561262 |
| قاعدة البيانات: |
MEDLINE |
