METHODS: A case-series of 23 patients whose surgical breaches were repaired using standard or modified Pacman flap were included in this retrospective study.
RESULTS: Most patients were male (65.2%) with a median age of 75.7 years. Squamous cell carcinoma was the tumor most commonly removed (60.9%), while scalp and face were the most frequent localizations (30.4%). Although 18 flaps were sculpted in the traditional Pacman shape, 5 were modified to fit the defect and localization. Complications occurred in 30% of flaps, but all of them were minor except for 1 extended necrosis.
CONCLUSIONS: The Pacman flap can be used to repair surgical wounds localized in any body area, including the scalp. Three modifications can enhance the versatility of the flap and offer new repair options to dermatologic surgeons.
方法:本回顾性研究包括23例采用标准或改良Pacman皮瓣修复手术裂口的患者。
结果:大多数患者为男性(65.2%),中位年龄为75.7岁。鳞状细胞癌是最常见的切除肿瘤(60.9%),而头皮和面部是最常见的局部化(30.4%)。尽管有18个襟翼被雕刻成传统的Pacman形状,5被修改以适合缺陷和定位。并发症发生在30%的皮瓣,但所有的人都是轻微的,除了1个扩展的坏死。
结论:Pacman皮瓣可用于修复任何部位的手术伤口,包括头皮.三个修改可以增强皮瓣的多功能性,并为皮肤科外科医生提供新的修复选择。