摘要
目的探讨面颈部瘢痕切除后创面的修复方法。方法2012年9月至2015年6月，对收治的18例面颈部瘢痕患者，在胸三角区置入1～2枚400～800 ml长方形扩张器，经2～5个月注水，注水后容量为400～1 000 ml。切除面颈部瘢痕，创面应用扩张后胸三角超薄皮瓣转移修复，7～10 d断蒂，利用蒂部皮瓣修复剩余的创面。供区直接拉拢分层缝合。结果共置入19枚扩张器，扩张器顺利扩张，皮瓣转移及断蒂后皮瓣全部成活，皮瓣色泽、质地接近正常部位。供区皮肤愈合良好。术后随访2～3年，受区均取得了较好的修复效果。结论扩张后胸三角超薄皮瓣是修复面颈部瘢痕切除后创面的较好方法。
ObjectiveTo investigate the method of repairing facial and neck defects.MethodsFrom Sept. 2012 to June 2015, 18 cases of facial and neck scars were first implanted with 400-800 ml rectangular expanderin the thoracic triangle region; after 2-5 months expansion, liquidvolumereached 400-1 000 ml.After resection of facial and neck scar, defects were covered by the expanded deltopectoral thin flap; 7-10 days afterwards, flap pedicles were severed to cover the residual wound.ResultsA total of 19 expanders were implanted. All flaps survived after flap transfer and pedicle severance. The flap color and texture were close to the normal site.The skin was well recovered. After 2 years to 3 years follow up, all the affected areas achieved good outcome.Conclusions
Ultra thin expanded deltopectoral flap is a good method for facial and neck defects reconstruction.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2018年第2期123-127,共5页
Chinese Journal of Plastic Surgery
