扩张后的胸三角皮瓣修复面颈部瘢痕

为克服应用胸三角皮瓣移转治疗烧伤后面颈部瘢痕的种种缺点,采用胸三角皮瓣供区预扩张的方法临床应用18例,获得了极为满意的效果。文中介绍了应用解剖、手术方法及注意事项,讨论了面部烧伤后瘢痕治疗方法的比较,胸三角皮瓣预扩张成功的要点,强调了如何保持扩张囊能按手术设计不移动的经验。认为预扩张的胸三角皮瓣是修复面部瘢痕与缺损的良好材料。

The application of expanded delto-pectoral flaps in the faciocervical region.

The delto-pectoral flap has been used to repair burned scar in the faciocervical region for some years.However,its limited size restricts its application.Furthermore,direct transfer of the flap may result in a swelling and inexpressive face and the donor site needs skin grafting.To avoid the above disadvantages,we have tried pre-expansion of the flap.In this article,the authors report the experi- ences in the application of the method to eighteen cases,including the surgical procedure,the applied anatomy,and typical cases as well.Also included in the article are the comparison between various therapies to the burned scar of the face,the key points for successful pre-expansion of the delto-pectoral flap,accurately maintaining the desired position.The method has been proved to have many advantages and can be widely applied.