Observation on the clinical effect of self-designed modified rhomboid skin flap in facial wound repair
10.3760/cma.j.cn501120-20200504-00250
- VernacularTitle:自行设计改良菱形皮瓣在面部创面修复中的临床疗效观察
- Author:
Lei YI
1
;
Yi DOU
;
Zengding ZHOU
;
Xuechuan LI
;
Jiexin ZHENG
;
Qin ZHANG
;
Jingning HUAN
;
Yan LIU
Author Information
1. 上海交通大学医学院附属瑞金医院灼伤整形科 200025
- Keywords:
Surgical flaps;
Wound healing;
Rhomboid wound;
Round wound;
Teardrop-shaped wound
- From:
Chinese Journal of Burns
2021;37(8):788-792
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of self-designed modified rhomboid flap in repairing rhomboid, round, and teardrop-shaped wounds on the face.Methods:A retrospective observational study was conducted. From August 2018 to April 2020, 30 patients with facial lesions admitted into Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine and the People's Hospital of Jianchuan County in Yunnan province met the inclusion criteria, including 16 males and 14 females, aged 23 to 88 years. The wound area ranged from 1.0 cm×1.0 cm to 7.0 cm×5.0 cm, with 10 cases of rhomboid wounds, 12 cases of round wounds, and 8 cases of teardrop-shaped wounds. The self-designed modified rhomboid flaps were applied to repair the wounds and after that, the patients were followed up for 1 to 18 months to record the survival of flaps, wound tension, scar formation and complications after surgery.Results:No necrosis or blackening was observed at the tip of the flaps after surgery. All the flaps survived and the wounds healed well with little tension, minimal scars, and no complications.Conclusions:The self-designed modified rhomboid flap is especially suitable for facial wounds with multiple important organs, multiple anatomical subunits, and areas with large changes in soft tissue tension, which can reduce not only the rotation of the flap, but also unnecessary excision of normal skin and soft tissue.
