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目的 探讨改进设计额部预扩张皮瓣的应用效果。方法 根据皮瓣修复部位，对额前主要供血支部分结扎阻断，保留选用的轴型血管蒂，强化皮瓣扩张及延迟效应，除额正中皮瓣用于鼻再造纵向切取设计外，选用额上区皮瓣转移，供区直接闭合。应用１０ 例。结果 １０ 块额部扩张皮瓣转移完全存活，随访６ 个月～７ 年３ 个月，修复功能形态恢复满意，供区病损小。结论 调控额部预扩张皮瓣供血及结合选用额上区皮瓣转移是增进临床修复与再造的有效方法。
Objective To explore the application of pre-expanded flaps in the design forehead. Methods According to the flap repair site, part of the main frontal blood supply was ligated and blocked, and the selected axial pedicles were preserved to enhance the flaps expansion and delay effect. In addition to the median frontal flap for longitudinal resection of nasal reconstruction, On the area flap transfer, for the area directly closed. Application of 10 cases. Results Ten forehead flaps survived completely. After a follow-up of 6 months to 7 years and 3 months, the repaired functional patterns were satisfactorily restored, and the donor lesion was small. Conclusion It is an effective method to improve the clinical repair and reconstruction by regulating the amount of pre-dilated flap blood supply and the combination of superior forehead flap transfer.