本研究介绍了一种基于穿支器的游离岛状皮瓣(PBIF),用于修复皮肤缺损。从2012年3月到2022年12月,对因皮肤癌而接受面部缺损重建的患者进行了回顾性调查。关于患者性别的数据,年龄,麻醉方法,诊断,缺陷位置,皮瓣尺寸,并发症,并收集了随访期。PBIF的设计有几个原则:手指捏法,与皱纹的方向对齐,皮瓣的宽度越小,长度越长,和肌肉的近端附着。共纳入32例患者,平均年龄为63.6岁。手术在不同地区进行,例如轨道下区域,鼻子,脸颊,philtrum,和耳前/后/下耳区,平均皮瓣大小为7.63cm2。没有并发症,如静脉充血或皮瓣血管功能不全,尽管一例由于皮瓣破裂而需要重新闭合。PBIF是修复面部缺损的一种有用而有效的方法。该方法可以提供简单但美观令人满意的结果,显示稳定的结果,没有复杂的手术或并发症。这项研究表明,这种方法有可能在未来的重建手术中得到更广泛的应用。
This study introduces a free-style perforator based island flap (PBIF) for the reconstruction of skin defects. From March 2012 to December 2022, a retrospective investigation was conducted on patients who underwent reconstruction for facial defects due to skin cancer. Data on the patients\' gender, age, anesthesia method, diagnosis, defect location, flap size, complications, and follow-up periods were collected. There are several principles for designing the PBIF: finger-pinching method, alignment with the direction of wrinkles, the smaller width and longer length of the flap, and proximal attachment to the muscle. A total of 32 patients were included, with an average age of 63.6 years. Surgeries were performed in various regions, such as the infraorbital area, nose, cheek, philtrum, and the anterior/posterior/inferior auricular regions, with an average flap size of 7.63 cm2. There were no complications, such as venous congestion or vascular insufficiency in the skin flaps, although one case required revisional closure due to flap disruption. The PBIF is a useful and effective method for the restoration of facial defects. This method can provide simple yet aesthetically satisfying results, showing stable outcomes without complex surgeries or complications. This study indicates the potential for this method to be more widely employed in reconstructive surgeries in the future.