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Volume 37 Issue 8
Aug.  2021
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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2021  >  37(8): 788-792
Yi L,Dou Y,Zhou ZD,et al.Observation on the clinical effect of self-designed modified rhomboid skin flap in facial wound repair[J].Chin J Burns,2021,37(8):788-792.DOI: 10.3760/cma.j.cn501120-20200504-00250.
Citation: Yi L,Dou Y,Zhou ZD,et al.Observation on the clinical effect of self-designed modified rhomboid skin flap in facial wound repair[J].Chin J Burns,2021,37(8):788-792.DOI: 10.3760/cma.j.cn501120-20200504-00250.
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Observation on the clinical effect of self-designed modified rhomboid skin flap in facial wound repair

doi: 10.3760/cma.j.cn501120-20200504-00250

  • Department of Burn, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Funds:

General Program of National Natural Science Foundation of China 81971832

Natural Science Foundation of Shanghai of China 19ZR1432100, 21ZR1440600

Shanghai Key Clinical Specialty Project Fund of China shslczdzk02302

More Information
  • Corresponding author: Liu Yan, Email: rjliuyan@126.com
  • Received Date: 2020-05-04
    Abstract
  •   Objective  To investigate the clinical effect of self-designed modified rhomboid flap in repairing rhomboid, round, and teardrop-shaped wounds on the face.  Methods  A retrospective observational study was conducted. From August 2018 to April 2020, 30 patients with facial lesions admitted into Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine and the People's Hospital of Jianchuan County in Yunnan province met the inclusion criteria, including 16 males and 14 females, aged 23 to 88 years. The wound area ranged from 1.0 cm×1.0 cm to 7.0 cm×5.0 cm, with 10 cases of rhomboid wounds, 12 cases of round wounds, and 8 cases of teardrop-shaped wounds. The self-designed modified rhomboid flaps were applied to repair the wounds and after that, the patients were followed up for 1 to 18 months to record the survival of flaps, wound tension, scar formation and complications after surgery.  Results  No necrosis or blackening was observed at the tip of the flaps after surgery. All the flaps survived and the wounds healed well with little tension, minimal scars, and no complications.  Conclusions  The self-designed modified rhomboid flap is especially suitable for facial wounds with multiple important organs, multiple anatomical subunits, and areas with large changes in soft tissue tension, which can reduce not only the rotation of the flap, but also unnecessary excision of normal skin and soft tissue.

     

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