应用皮肤扩张术修复面颈部瘢痕

目的:应用皮肤扩张修复面颈部瘢痕。方法:应和扩张器置入面颈部正常皮肤下,扩张后修复面部瘢痕切除后创面30例。面颈部皮瓣的设计不同,面部多采用直接推进皮瓣修复,颈部多采用易位皮瓣修复。结果:30例瘢痕切除后无继发畸形,1例皮瓣部分血运障碍,经换药后痊愈。随访显示皮瓣颜色、质地均佳,切口轻度瘢痕。结论:皮肤扩张术为面颈部瘢痕切除后创面修复的首选方法。

Application of skin expanding technique for repair of facial and neck scar

Objective To repair facial and neck scar using tissue expanding technigue. Methods : From may 1999 to 2002 30 cases with facial and neck scar were treated. Tissue expanders were put under the normal skin of facial and neck area , after being fully expanded, the scars were excised and the expanded skin flaps were transplanted to cover the defects. The design of flap was different in the face and in the neck . In the face, direct advanced flap was most common used. whereas in the neck , transposition flap was often used. Results Fifteen cases had no secondary deformity after scar excision . Among them , 1 case showed blood circulation disturbance and cured through dressing change. The cases were fllowed up and showed better color and texture in the flap , and satisfactory appearance. Conclusion Tissue expanding technique is the best method for the repair offacial and neck scar.