Nasolabial subcutaneous pedicle flaps in facial trauma repair of emergency.doc

 PAGE \* MERGEFORMAT 6 Nasolabial subcutaneous pedicle flaps in facial trauma repair of emergency [Abstract] subcutaneous pedicled nasolabial flap for facial injuries caused by small range of skin and soft tissue defects were 47 postoperative scar is not obvious, the local level, there is no obvious skin color, no secondary deformity, to the face instant shaping effect of traumatic defects. [Keywords:] flap, facial injuries, skin defects, wound healing August 2004 ~ December 2007, we will subcutaneous pedicle nasolabial island flap for emergency trauma due to medium-sized facial skin defects repaired a total of 47, satisfactory results, reported below. Clinical data 1 General Information The group of 36 cases, male 19 cases, 17 females, aged from 12 to 62 years. The causes of injury: road traffic injuries in 27 cases, 4 cases of blunt injured, falls in 5 cases. A total of 47 lesions, time from injury to medical treatment were 2 to 24 hours. repair parts: nasal defects 16, 13 of the lip defect, lower eyelid defects with 14, four cheek defect. using any type of flap 27 cases of nasolabial fold , nasolabial axial flap in 9 cases. The defect of the largest group of cases is 5.8cm 2.5cm, smallest is 1.2cm 0.9cm. flap up to 6.0cm 2.5cm, 1.5cm 1.0cm minimum the width of the flap design is generally 1.5 ~ 2.0cm, width up loose skin flaps were 3.0 ~ 4.0cm. 2 Methods (1 Indications: Nasolabial flap for the nose, the nose back, upper and lower lip and lower eyelid and other parts of the repair of skin and soft tissue defect width of 2.0 ~ 2.5cm, width up to those old sagging 3.0 3.5cm, and difficult to suture directly or appearance change after those sutures. (2 flap design principles: skin and soft tissue defects according to the location and design of an area the size of the flap. flap than 10% by the District for the District After the suture does not cause significant deformation of the principle of the surrounding organs. nasolabial flap any typ