颜面部皮肤扩张术后残缺修复.docVIP

颜面部皮肤扩张术后残缺修复[摘要]目的:采用自体显微毛囊移植技术对接受颜面部皮肤扩张术治疗后出现毛发残缺的的患者进行进一步修复,以便获得更为满意的疗效。方法:运用自体显微毛囊移植技术进行部分或全部眉、胡须(含上、下唇、颏、下颌)再造修复,毛囊供区位于耳后或枕部头皮。上述治疗均在扩张术治疗半年以后进行。结果:运用自体显微毛囊移植技术进行部分或全部眉再造共10例13侧;胡须再造(含上、下唇、颏、面颊和下颌)12例,疗效满意。结论:采用自体显微毛囊移植技术对接受颜面部扩张术治疗后出现毛发残缺的患者进行进一步修复可以取得良好效果。 [关键词]皮肤扩张术;面部;毛发移植 [中图分类号]R622[文献标识码]A[文章编号]1008-6455(2010)04-0477-02 To reconstruct the hairs ectopia or defect from the facial tissue expanding surgery YANG Li,PAN Yong,HAN Yan,XIA Wen-sen,DENG Ying,YANG Pei (Institute of Plastic Surgery,Xijing Hospital,the Fourth Military Medical University,Xi’an 710032,Shaanxi,China) Abstract:ObjectiveTo reconstruct the hairs defect from the facial tissue expanding surgery by self-hair transplant so as to achieve more satisfactory results.MethodsThe hairs defect in the eyebrow, beard (upper lip, lower lip, chin and lower mandible) was corrected by self-hair transplant. Donor hairs are from post aurem or occiput. All of these reconstructive surgeries were carried out six months after facial tissue expand.ResultsThere were partly or whole eyebrow reconstruction in 10 cases (13 sides) and beard reconstruction (including upper lip, lower lip, chin and lower mandible) in 12 cases by autogenic mini-hair transplant. All cases have satisfactory results after treatment.ConclusionGood results could be achieved to treat hairs defect from facial tissue expanding surgery by hair transplant techniques. Key words: tissue expanding, face, hair transplant 皮肤扩张术以其术后修复皮瓣质地、色泽与受区较相近的优点而在临床上得广泛应用。然而,相当一部分接受颜面部扩张术的患者对术后效果并不十分满意。原因之一是术区毛发全部或部分残缺导致面部两侧毛发分布不对称。对此,我科应用采用自体显微毛囊移植技术进行了进一步修复,取得了满意疗效。 1临床资料 所有病例资料均来自从2005年1月～2006年12月在我科接受颜面部扩张术及胸三角预扩张皮瓣移植修复面部的患者,男性33例36侧,女性7例,年龄12～41岁。为了纠正面部两侧毛发分布不对称,采用自体显微毛囊移植技术进行部分或全部眉再造共10例13侧;胡须再造(含上、下唇、颏、下颌)12例。疗效满意。 2修复方法 对于眉、胡须(含上、下唇、颏、面颊和下颌)部分或全部残缺者,根据健侧毛发分布、色泽、粗细及患者自己的喜好,一般采用耳后和枕部头皮作为毛囊供区,参考传统毛囊单位移植(fullicular unit transplantation,FUT)法[1],采用2%利多卡因局部浸润麻醉后,根据毛发需求量切取头皮条,放置于4℃冰盐水中,供区直接连续缝合。在3倍放大镜下,将切下的头皮条仔细分离成单株毛囊,参考健侧毛发分布和