Objective To investigate the application and aesthetic efficacy of “kite”flaps in the repair of facial soft tissue defects.Methods The “kite”flaps were used for the repair of facial soft tissue defects in 32 patients.Among them,traumatic skin defect occurred in 9,benign lesion in 14 and malignant tumor in 9.After deciding to use “kite”flap repair,triangular “kite”flaps were de-signed on the side of the defect along the dermatoglyphs or wrinkles.The width of flaps was equal to or slightly less than the diameter of the wounds.Subcutaneous tissue and tissue beneath skin flap were used as pedicles to produce the flaps.The advancement flap repair was performed and then subcutaneous dissection was carried out.Skin defects were directly sutured.For the larger oblong wounds,two “kite”flaps were designed along the long axis of the oval and flaps advanced in the opposite direction to repair wounds.The wounds were closed with 6-0 subcutaneous ab-sorbable interrupted sutures.The skin was closed with 7-0 sutures.Results Stitches were re-moved on postoperative day 5 to 7 and no hematoma,infection,necrosis and other complications occurred in all patients.All flaps survived with stage Ⅰ incision healing and abundant blood sup-ply.After 6-12 months of follow-up,all flaps survived well with same or similar color and texture to surrounding skin.No secondary injury was observed in other parts of the body.No recurrence and metastasis occurred and scars were not obvious in patients with malignant tumors.Conclusion The “kite”flap repair is simple to operate and does not affect facial form in patients with middle area of facial wounds caused by tumor resection or trauma.In addition,“kite”flaps produce same color,texture,luster and actinic damage degree with adjacent skin.Therefore,the “kite”flap re-pair can achieve ideal surgery and aesthetic efficacy in facial soft tissue defects.%目的：探讨“风筝”皮瓣在修复颜面部皮肤缺损创面中的应用及其美学效果。方法对32例颜面部皮肤软组织缺损的患者采用“风筝”皮瓣修复。其中创伤性皮肤缺损9例，良性病变14例，恶性肿瘤9例。在评估决定“风筝”皮瓣修复后，在缺损的一侧顺皮纹或皱褶线设计一三角形“风筝”样皮瓣。皮瓣的宽度等于或略小于缺损的横径，以两侧的皮下组织为蒂或以皮瓣正下方的组织为蒂制作皮瓣，皮瓣的宽度略小于椭圆形缺损的短径。将皮瓣向创面推进修复创面，继发创面稍作皮下剥离，直接缝合。对于较大的长椭圆形创面，则在椭圆形长轴方向上做2个三角形“风筝”皮瓣，两皮瓣相向推进修复创面。6-0可吸收线间断缝合皮下，7-0无损伤线缝合皮肤。结果32例患者术后第5-7天拆线，切口均Ⅰ期愈合。皮瓣全部成活，皮瓣血运良好，无血肿、感染和坏死等并发症。术后随访6个月～1年，32例患者的皮瓣均存活良好，颜色、质地与周围皮肤相同或相近，未造成其他部位继发性损伤。恶性肿瘤的患者无复发及转移，瘢痕不明显。结论采用“风筝”皮瓣修复颜面部肿瘤切除或创伤后中等面积创面，不仅操作简单，不影响面部形态，而且修复后的颜色、质地、光泽和光化性损害程度与邻近皮肤相同，并能取得理想的手术和美学效果。
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