扩张锁骨上轴型皮瓣修复面颈部皮肤缺损的临床应用

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1、泸州医学院硕士学位论文postoperatiVely，operationefIfecteValuationwasaccordedtothef01lowingindicators：1)Appearance：TherepairedsbnteXture，color，soRness，etc．2)Degreeofcontracture：toobservetherepairs妯nnaporsl(incontractureaRertransplantation；3)PostoperatiVeimmediateandlong-temlcomplications；4)thepatient’sindiVidual

2、satisf-action(includingthe1engthoftreatmentcycle；thesatisfactionsurveyforpatientsPostoperatiVeofthes妯ncolor，thickness，elasticity，texture；postoperatiVeshortandlongtermcomplications)．Results：theexpansionsupra_clavicularaxialn印series：TWent)，patients’agesrangingbe觚een7and49years，withanaVerageageof28year

3、s，themaximumn印areawas15cm×20cm，theminimumnapareawas12cm×9cm．EVentually，19napsweresurviVedconlpletely，1nap(5％)occurreddistalpanialn印necrosis，whichcuredaRerdealillgwiththedressing．Thefreesbngroupseries：Twen够patientsaged仔om4to62years，withthemeanageof33years，thema妇mumdefectsizewas3O×25cm，thesmallestwas2

4、×4cm．Amongthesepatients，3casesofearsl(ingrafts，2casesofmedialupperamls妯ngrafts，15casesofinguinalskngraRs．At1ast，16casesweremllyaliVe，3cases(15％)occurredasmallareaofnecrosis，curedaRerdressing．1case(5％)tookplacesbnpiecepartialnecrosis，acceptedskingraRsagainandthenrecoVered．Throughanaverageof12monthsfo

5、llow-up，mec010randteXtureofsupraclavicularane巧eXpandednapwiththefaciocervicalr99ionmatchedwell，noobViousshrinkagephenomenonofsl(innapwasobserved．EXpansionofsupraclaVicularnapcontracturewassigniflcantly6泸州医学院硕士学位论文1essthanthatof矗eesl(inflapgroup，long-temfollow-upofpatientssatisfactionwashigherthantha

6、tof仔eeshngraRsgroup．Conclusion：Applicationofsupra—clavicularaxialeXpandedn印technique，postoperatiVeskincolor，texture，feelinga11matchtherepairedareaweU．Withexcellentmnctionalandaestheticresults．帆ichbeappliedtoreconstructionisapracticalandeffective，safeandreliablemethod．【keywords】supra—claVicularaXialf

7、lap；eXpandednap；faceandneck：reconstmction7泸州医学院硕士学位论文．=．Z．．J一日IJ吾随着现今社会时代的不断进步，人们对审美层次的不断提升以及人体暴露部位的目益增多，患者对于自我的要求必然也越来越高。面颈部更是人体的外露部位，是人体外观形态展示以及功能运动需要最为重要的部位之一。薄而柔软的皮肤允许我们面颈部区域活动自如。创伤、体表色素痣、肿瘤或者烧伤后瘢