上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2017, Vol. 37 ›› Issue (9): 1304-.doi: 10.3969/j.issn.1674-8115.2017.09.020

• 综述 • 上一篇    下一篇

头面部严重毁损的治疗进展

黄昕，昝涛   

  1. 上海交通大学 医学院附属第九人民医院整复外科，上海 200011
  • 出版日期:2017-09-28 发布日期:2017-10-10
  • 通讯作者: 昝涛，电子信箱：zantaodoctor@yahoo.com
  • 作者简介:黄昕（1993—），男，硕士生；电子信箱：victorhuang9h@163.com
  • 基金资助:
    上海市教育委员会高峰高原学科建设计划（20161424）；上海市浦江人才计划（15PJD022）

Developments in reconstruction of severe face and neck disfigurement#br#

HUANG Xin, ZAN Tao   

  1. Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • Online:2017-09-28 Published:2017-10-10
  • Supported by:
    Shanghai Municipal Education Commission—Gaofeng Clinical Medicine Grant Support, 20161424; Shanghai Pujiang Program, 15PJD022

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摘要：  烧伤、肿瘤切除、外伤等常导致严重的头面部缺损和畸形。此类患者皮肤软组织缺损面积大，常伴复合组织缺损，并且由于 面部对美学和功能的重建要求高以及人体缺乏适宜的修复材料，这类疾病的治疗一直是整形外科面临的重大难题之一。该文回顾近年 文献，重点阐述自体组织重建与同种异体脸面移植用以治疗此类缺损的进展情况，主要涉及两者的适应证和局限性，同时对其所面临 的机遇与挑战作出展望。

关键词: 面部重建, 软组织扩张, 预构皮瓣, 预置皮瓣, 同种异体脸面移植

Abstract:

Severe defects and deformities of face and neck normally arise from burns, tumor extirpation and trauma. They had long been a major therapeutic challenge in the realm of plastic and reconstructive surgery on account of massive involvement of skin and soft tissues, combined composite tissue injuries, high demands on aesthetic and functional outcomes, and scarce suitable reconstructive materials. After an extensive review of literature published recently, this article delineated up-to-date developments in autologous reconstruction and face allotransplantation, especially their indications and limitations in treating these patients. Meanwhile, an outlook on opportunities and challenges of these two treatment modalities was given.

Key words:  face reconstruction, soft tissue expansion, pre-fabricated flap, pre-laminated flap, face allotransplantation