应用“阅读者”皮瓣修复面颊部肿瘤性皮肤缺损的临床研究

doi:10.19438/j.cjoms.2026.05.007

中国口腔颌面外科杂志 ›› 2026, Vol. 24 ›› Issue (5): 483-487.doi: 10.19438/j.cjoms.2026.05.007

应用“阅读者”皮瓣修复面颊部肿瘤性皮肤缺损的临床研究

胥锡耀¹, 张鑫², 张文霞¹, 钟俊波¹

1.自贡市第四人民医院烧伤整形美容外科,四川自贡 643000;
2.自贡市第一人民医院健康管理中心,四川自贡 643000

收稿日期:2025-12-04 修回日期:2026-03-29 出版日期:2026-09-20 发布日期:2026-10-10
通讯作者: 钟俊波,E-mail: zjb333a@163.com
作者简介:胥锡耀（1995—）,男,硕士,E-mail: 296106198@qq.com
基金资助:
自贡市中西医结合研究协同创新类项目（2025ZXY0211）

Clinical study on the "reading man" flap for repairing tumorous skin defects in the buccal region

Xu Xiyao¹, Zhang Xin², Zhang Wenxia¹, Zhong Junbo¹

1. Department of Burns, Plastic and Aesthetic Surgery, Zigong Fourth People's Hospital. Zigong 643000;
2. Health Management Center, Zigong First People's Hospital. Zigong 643000, Sichuan Province, China

Received:2025-12-04 Revised:2026-03-29 Online:2026-09-20 Published:2026-10-10

摘要/Abstract

摘要： 目的：探讨“阅读者”皮瓣用于面颊部较大肿瘤切除术后皮肤缺损修复的临床价值和修复效果。方法：回顾性分析2011年6月—2021年6月于自贡市第四人民医院接受“阅读者”皮瓣修复的面颊部肿瘤切除术后缺损患者56例,依据缺损部位与面积,沿垂直于皮肤张力线方向设计皮瓣,通过旋转易位完成创面修复。缺损面积2.3 cm×2.5 cm~4.5 cm×5.0 cm,平均10.7 cm²。结果：56例患者中,2例下睑邻近区域肿瘤切除后缺损,采用标准“阅读者皮瓣”修复后即刻出现明显下睑外翻,改行植皮修复。其余54例皮瓣修复患者中,49例创面一期愈合,无感染发生;5例患者出现皮瓣尖端少量坏死,经换药后创面愈合。术后随访7~24个月,54例皮瓣修复患者均未出现明显面部畸形及功能障碍,3例皮肤鳞状细胞癌患者出现肿瘤局部复发,经再次手术治疗后控制。结论：“阅读者”皮瓣可充分利用创面周围正常组织,适用于面颊部较大面积皮肤缺损修复,具有操作简便、面部畸形发生率低、瘢痕隐蔽等优势,合理的皮瓣设计与精准的手术操作是其成功应用的关键。

关键词: 阅读者皮瓣, 面颊部缺损, 皮肤肿瘤, 创面修复

Abstract: PURPOSE: To explore the application value and clinical effect of the "reading man" flap in repairing wounds after resection of relatively large buccal tumors. METHODS: A retrospective analysis was performed on 56 patients with buccal defects repaired by the "reading man" flap in Zigong Fourth People's Hospital from June 2011 to June 2021. Flaps were designed perpendicular to the relaxed skin tension lines according to the defect location and area, and wounds were repaired by rotation and transposition. The defect area ranged from 2.3 cm×2.5 cm to 4.5 cm×5.0 cm, with an average of 10.7 cm². RESULTS: Among the 56 patients, 2 cases with defects adjacent to the lower eyelid developed obvious immediate ectropion after repair with the standard "reading man" flap and were converted to skin grafting. Of the remaining 54 cases, 49 achieved primary wound healing without infection, and 5 had minor necrosis at the flap tip that healed after dressing changes. During 7-24 months of follow-up, no obvious facial deformity or dysfunction occurred in the 54 flap-repaired patients. Local tumor recurrence was noted in 3 patients with cutaneous squamous cell carcinoma, who underwent reoperation successfully. CONCLUSIONS: The "reading man" flap can make full use of the surrounding tissues of the wound and is suitable for repairing large buccal skin defects with advantages of simple operation, low incidence of facial deformity and hidden scar. Reasonable flap design and precise surgical manipulation are the key to successful application.

Key words: Reading man flap, Buccal defect, Cutaneous tumor, Wound repair

中图分类号:

R782.2

胥锡耀, 张鑫, 张文霞, 钟俊波. 应用“阅读者”皮瓣修复面颊部肿瘤性皮肤缺损的临床研究[J]. 中国口腔颌面外科杂志, 2026, 24(5): 483-487.

Xu Xiyao, Zhang Xin, Zhang Wenxia, Zhong Junbo. Clinical study on the "reading man" flap for repairing tumorous skin defects in the buccal region[J]. China J Oral Maxillofac Surg, 2026, 24(5): 483-487.

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应用“阅读者”皮瓣修复面颊部肿瘤性皮肤缺损的临床研究

Clinical study on the "reading man" flap for repairing tumorous skin defects in the buccal region

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