广泛皮肤扩张术修复面颈胸部烧伤后瘢痕

目的：探讨广泛皮肤扩张术修复面颈，胸部烧伤后瘢痕的治疗效果。方法：采用一次多个扩张器置入面颈，胸部正常皮肤下，经广泛扩张皮肤后修复瘢痕，切除瘢痕散在，畸形比较严重的创面共计13例，置入的扩张器数量及大小依瘢痕畸形程度不同为5－8个，扩张容积30－450ml不等。手术遵循整形外科设计原则，尽可能使修复后的切口处于顺皮纹或隐蔽处，以面部器官正确复位，颌颈角正常，上胸部避免植皮为治愈标准，结果：13例面颈，胸部散在瘢痕切除均一次性完成，皮瓣全部成活，其质地，色泽理想，面部器官，颈胸部外观与功能较好，结论：采用广泛皮肤扩张术修复面颈胸部烧伤后瘢痕，是一种较好的方法。

Repair of the postburn scar of face, neck and chest with extensive tissue expanding technique

Objective To explore the treatment effects of extensive tissue expanding technique on the postburn scar of face , neck and chest. Methods The technique was applied in 13 patients with postburn scar of face, neck and chest. Different number of expanders (usually 5-8) with volume of 30 ml to 450 ml each were implanted under the adjacent normal skin. The principle of plastic surgery was observed during the operation with attention to locating sear lines along leavage lines and in obscure areas. The criteria for cure were correct restoration of the position of the five organs on the face, restoration of the correct angle of jaw and neck and avoidance of skin grafting on the chest. Results All the postburn scar on face, neck and chest was removed en masse with all the flaps survived with satisfactory color and texture with this technique. In addition, the appearance and the function of facial organs and neck and chest were restored perfectly. Conclusion Extensive tissue expanding technique is satisfactory in the repair of postburn scars of face, neck and chest.