用扩张后超薄胸三角皮瓣修复颌面部较大面积瘢痕

目的:研究用胸三角皮瓣作面部大块瘢痕切除后创面的美容修复技术。方法:选择17例面部瘢痕患者,在19个胸三角区作皮肤扩张术,2个月后手术延迟预制定形皮瓣,最后将皮瓣作超薄处理并移植到面部。结果:19个胸三角皮瓣移植后全部成活。4个月以后随防显示,皮瓣色泽和质地与受区皮肤匹配良好,皮瓣组织质地柔软有弹性,局部无臃肿。皮肤感觉恢复快。结论:胸三角区扩张后皮瓣用于修复面部大块瘢痕安全可行,用延迟法作定形预制和超薄处理后,可获得理想的功能恢复和美学效果。

Expanded delto-pectoral ultra-thin flaps for aesthetic repair of large cicatrix in face

Objective To develop a method for aesthetic repair of large cicatrix in the face.Methods Seventeen cases of patients with large cicatrix in the face were chosen in this study.nineteen large volume expanders were inserted into the subcutaneous pockets in the delto-pectoral zone and were inflated by fast expansion model.Two months later,the flaps were prefabricated,thinned and transplanted.After scars were resected,all the wounds were repaired.Results All of the nineteen flaps were survived completely and the wounds healed well after transplantation.The long term follow up results show that the color and texture of the flaps match the recipient place well without swelling.The superficial and deep sensation recovered very fast.Conclusion It is safe,practical and effective that the delto-pectoral flaps were used to repair large scar in the face.After the shaped flaps were prefabricated and thinned,ideal function and aesthetic effects could be achieved.