目的探讨应用扩张后头皮瓣联合术后激光脱毛修复额部病损的临床疗效。方法2014年5月至2016年5月收治额部病损患者10例,全部患者一期均行头皮下植入皮肤软组织扩张器,二期切除额部病损,应用扩张后头皮瓣覆盖遗留创面,二期术后2周转移头皮瓣行激光脱毛,一般4~6次治疗至毛发脱净。结果10例患者额部病损均得到有效修复,术后切口一期愈合,头皮瓣未发生血运障碍,激光治疗后,转移头皮瓣毛发消脱干净,皮瓣颜色、质地与额部皮肤相近,所有患者均取得满意的外形效果。结论扩张后头皮瓣联合激光脱毛是治疗额部病损的有效方法。
Objective To explore the clinical results of repairing frontal lesions with the combination of the expanded scalp flaps and postoperative laser hair removal. Methods There were 10 pa- tients involved between May 2014 through May 2016 in our department. In the first stage, the expanders were implanted to the pockets under the scalp. In the second stage, the wounds, after lesion removal, were covered by the expanded scalp flaps. In the third stage, laser hair removal was performed 2 weeks postoperatively for 4 to 6 times until complete removing the hair. Results All the lesions were repaired with good results. The incisions healed primarily. The scalp flaps survived without necrosis. The hair on the flap was removed completely. The color and texture of the flap were similar to these of the adjacent skin. The satisfactory results of the appearance were achieved in all the patients. Conclusions The combination of the expanded scalp flap and laser hair removal is an effective method for the repairing of the frontal lesion.