This study introduces a free-style perforator based island flap (PBIF) for the reconstruction of skin defects. From March 2012 to December 2022, a retrospective investigation was conducted on patients who underwent reconstruction for facial defects due to skin cancer. Data on the patients’ gender, age, anesthesia method, diagnosis, defect location, flap size, complications, and follow-up periods were collected. There are several principles for designing the PBIF: finger-pinching method, alignment with the direction of wrinkles, the smaller width and longer length of the flap, and proximal attachment to the muscle. A total of 32 patients were included, with an average age of 63.6 years. Surgeries were performed in various regions, such as the infraorbital area, nose, cheek, philtrum, and the anterior/posterior/inferior auricular regions, with an average flap size of 7.63 cm2. There were no complications, such as venous congestion or vascular insufficiency in the skin flaps, although one case required revisional closure due to flap disruption. The PBIF is a useful and effective method for the restoration of facial defects. This method can provide simple yet aesthetically satisfying results, showing stable outcomes without complex surgeries or complications. This study indicates the potential for this method to be more widely employed in reconstructive surgeries in the future.
本研究介绍了一种基于穿支血管的岛状皮瓣（PBIF）用于皮肤缺损重建。2012年3月至2022年12月期间，对因皮肤癌导致面部缺损并接受重建手术的患者进行了回顾性研究。收集了患者的性别、年龄、麻醉方式、诊断、缺损部位、皮瓣大小、并发症及随访时间等数据。PBIF的设计遵循以下原则：采用指捏法确定皮瓣方向，顺应皮肤皱纹走向，设计为窄长形态，并保持近端与肌肉附着。共纳入32例患者，平均年龄63.6岁。手术区域涵盖眶下区、鼻部、颊部、人中及耳廓前/后/下区，皮瓣平均面积为7.63 cm²。所有皮瓣均未出现静脉淤血或血运障碍等并发症，仅1例因皮瓣裂开需二次缝合修复。PBIF是修复面部缺损的有效方法，该术式操作简便且能获得良好的美学效果，在避免复杂手术和并发症的同时展现出稳定的临床疗效。本研究提示该方法在未来重建手术中具有更广泛的应用前景。
肿瘤(癌症)患者之家