Abstract：Objective: To observe the value of super-thin perforator flaps in the reconstruction of the extensive defects and deformities in the face and neck. Methods: From January 2003 to January 2016, 61 cases with extensive facial and cervical scars were collected in our hospital. The patients in control group were treated by conventional pre-expanded flaps, total 32 cases. The patients in experimental group were treated by super-thin perforator flaps. The skin flap healing and skin repair was analyzed. Results: The control group has 6 cases of flap necrosis and the flap necrosis rate were 20.69%.And the experimental group has 1 cases of flap necrosis and the flap necrosis rate were 3.13%,which was significantly lower than the control group(P<0.05).The control group has 10 cases of flap retraction and the flap retraction rate were 34.48%,and the experimental group has 3 cases of flap retraction and the flap retraction rate were 9.38%,there difference was significant(P >0.05).All patients were followed up for 2 years showed that the super-thin perforator flaps thinner than the conventional pre-expanded flap, thus avoiding secondary flap debulking and revisions. And the appearance and muscle stretch function of experimental group were better than the control group. Conclusion: The super-thin perforator flaps is a safe and effective surgical method to repair the extensive defects and deformities in the face and neck. It can reduce the flap necrosis rate, restore facial appearance and function.
张晔, 习耀峰, 陈荣, 杨江艳, 张成峰, 马伟欢, 贾伟. 扩张超薄穿支皮瓣在修复面颈部大面积瘢痕畸形及皮肤缺损中的价值[J]. 河北医学, 2017, 23(2): 266-268.
ZHANG Ye, XI Yaofeng, CHEN Rong, et al. The Value of Super-thin Perforator Flaps in the Reconstruction of the Extensive Defects and Deformities in the Face and Neck. HeBei Med, 2017, 23(2): 266-268.
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2017, Vol. 23 
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