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The use of modified keystone flap in periarticular or large superficial tumor resection surgery.

在关节周围或大型浅表肿瘤切除手术中使用改良梯形皮瓣。

  • 影响因子:2.88
  • DOI:10.1002/jso.25879
  • 作者列表:"Fang S","Li Y","Tang W","Zhu W","Zhuang W","Xing X","Yang C
  • 发表时间:2020-06-01
Abstract

BACKGROUND AND OBJECTIVES:The keystone design perforator island flap (KDPIF) is often used to cover defects in reliable blood supply and similar skin patterns, but its mobility is limited, especially when the wound is large or occurs around joints. Here, we describe a modified KDPIF, boat-shaped flap. We added a V shape along the lateral arc, forming a V-Y flap on KDPIF's outer arc shapes like a sail. This paper also describes a clinical study to evaluate this method. METHOD:From September 2014 to March 2017, 31 patients were operated on using the boat-shaped flap in our department and were followed up annually with clinical evaluation. The wound locations included joints (n = 11), trunk (n = 18), and face (n = 2). Fifteen defects were ≥5 × 5 cm2 . RESULTS:After 6 to 24 months of follow-up, 29 patients had first-intention healing and were satisfied with the morphology and function. Secondary healing was observed in two patients, and the wounds were closed after dressing treatment for 2 weeks. CONCLUSION:The boat-shaped flap enhances the mobility and achieves strong resistance to tension. The modified curvilinear shape prevents the joint activity from being restricted, with visually concealed scars. It is particularly applicable for repairing large wounds and defects around joints.

摘要

背景与目的: keystone设计穿支岛状皮瓣 (KDPIF) 常被用于覆盖血供可靠、皮肤形态相似的缺损,但其活动度有限,特别是当伤口较大或发生在关节周围时。在这里,我们描述了一种改良的KDPIF,船形皮瓣。我们沿侧弧添加了一个V形,在KDPIF的外弧形状上形成一个V-Y瓣,像帆一样。本文还描述了一个临床研究来评价这种方法。 方法: 2014 年 9 月-2017 年 3 月,我科对 31 例患者采用舟形皮瓣进行手术治疗,并进行年度随访和临床评价。伤口位置包括关节 (n = 11) 、躯干 (n = 18) 和面部 (n = 2)。15 例缺损 ≥ 5 × 5 cm2。 结果: 经过 6 ~ 24 个月的随访,29 例患者均获得 ⅰ 期愈合,形态和功能满意。观察 2 例患者二次愈合情况,换药治疗 2 周后伤口闭合。 结论: 舟形皮瓣增强了活动度,达到了较强的抗张力能力。修改后的曲线形状防止关节活动受到限制,视觉上隐藏疤痕。特别适用于关节周围较大的创伤和缺损的修复。

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影响因子:0.96
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DOI:10.1097/DAD.0000000000001459
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皮肤肿瘤方向

皮肤肿瘤是发生在皮肤的细胞增生性疾病,是一种常见病。发生于皮内或皮下组织的新生物,种类很多,临床上分良性肿瘤和恶性肿瘤。恶性肿瘤可以不断增殖,引起转移,威胁生命,称为皮肤癌。

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