颈阔肌肌皮瓣重复扩张修复面颈部瘢痕畸形

目的　探讨修复面颈部较大范围皮肤软组织缺损的有效方法。方法　 1997～ 2 0 0 0年我们对 11例患者采用颈部颈阔肌下重复扩张 ,形成大面积的肌皮瓣 ,分次向颈面部滑行推进 ,修复皮肤软组织缺损。结果　 11例患者重复扩张肌皮瓣全部成活 ,无血运障碍、皮瓣坏死等并发症发生 ,术后近、远期均获得满意效果。结论　选择合适的病例 ,重复扩张后的颈阔肌肌皮瓣向上滑行推进分次修复面颈部较大范围皮肤软组织缺损的安全可靠方法。

The applications of the repetitive sub-platysmal expansion in repair the defects of skin and soft tissue in face and neck

Objective To study a new effective approach which repairs large defects of skin and soft tissue in neck and face . Method This procedure accomplishes repetitive sub-platysmal expansion to form large musculocutaneous flap with underlying pedicel. The surgeon slides it toward neck and face to repair the defects of skin and soft tissue. Result Eleven patients,who had such defects in neck,face,cheek,chin or submental skin and soft tissue,underwent this treatment. All the flaps survive with no complications of blood supply deficiency or necrosis. The short-term and long-term results are both satisfying. Conclusion This method,making repetitive sub-platysmal expansion to form musculocutaneous flap and then slide it toward neck/face to repair large defects of skin and soft tissue,proves to be safe and reliable. And appropriate cases and strict operations are important. ;