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目的 探讨斧形皮瓣修复面颊部软组织缺损的效果和意义.方法 参照面颊部自然曲线走向,在软组织缺损一侧设计斧形皮瓣,推进修复面颊部软组织缺损.结果 自2006年以来,共修复面颊部软组织缺损13例,面积最小1.8 cm×2.0 cm,最大2.5 cm×3.5 cm.术后皮瓣成活良好,均一期愈合.随访3个月～1.5年,术后瘢痕纤细隐蔽,对面颊部自然曲线的影响较小,外形满意.结论 斧形皮瓣修复面颊部软组织缺损,能够避免对面部自然曲线的破坏,达到较佳视觉效果,可以作为修复面颊部软组织缺损的较好的方法.

Objective To evaluate the therapeutic effect of hatchet flap for buccal tissue defect. Methods The hatchet flap was designed beside the tissue defect and advanced to cover the defect. Results Since 2006, 13 cases were treated with primary healing and no flap loss. The size of the flaps ranged from 1.8 cm×2.0 cm to 2.5 cm×3.5 cm. All the cases were followed up for 3 months to 1.5 years. The postoperative appearance was satisfactory with inconspicuous scar. Conclusions Hatchet flap is very suitable for the buccal tissue defect with satisfactory cosmetic result. The facial natural figure is protected very well.