| 颈部瘢痕挛缩松解术中颌颈角的形成及意义 |
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| 引用本文： | 林军,章一新,王丹茹,杨军,陈惠平,钱云良.颈部瘢痕挛缩松解术中颌颈角的形成及意义[J].上海交通大学学报(医学版),2006,26(3):309-311. |
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| 作者姓名： | 林军 章一新 王丹茹 杨军 陈惠平 钱云良 |
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| 作者单位： | 上海交通大学医学院新华医院整复外科 上海200092(林军，陈惠平)，上海交通大学医学院第九人民医院整复外科 上海200092(章一新，王丹茹，杨军，钱云良) |
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| 摘 要： | 目的探讨颈部瘢痕挛缩松解术中形成颌颈角的方法及其临床意义。方法43例颈部瘢痕挛缩患者,在彻底松解瘢痕挛缩的基础上,根据患者的具体情况,分别采用游离植皮、颈阔肌软组织瓣加深颌颈角、游离皮瓣移植、分叶皮瓣游离移植及颏骨截骨前移、颏成形等方法修复创面,重塑颈部曲线。结果手术效果良好,术后颌颈角明显,颈部曲线恢复,其中21例患者术后6个月随访,颌颈角仍然明显,无再次挛缩出现。结论形成颌颈角是颈部瘢痕挛缩松解术成功的关键,其对维持颈部外形和功能有重要作用。
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| 关 键 词： | 颈部 瘢痕挛缩 颌颈角 |
| 文章编号： | 0258-5898(2006)03-0309-03 |
| 收稿时间： | 2005-10-27 |
| 修稿时间： | 2005年10月27 |
Study on the Formation of Cervico-Mandicular Angle in Reconstruction of Neck Scar Contracture |
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| LIN Jun,ZHANG Yi-xin,WANG Dan-ru,YANG Jun,CHEN Hui-ping,QIAN Yun-liang.Study on the Formation of Cervico-Mandicular Angle in Reconstruction of Neck Scar Contracture[J].Journal of Shanghai Jiaotong University:Medical Science,2006,26(3):309-311. |
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| Authors: | LIN Jun ZHANG Yi-xin WANG Dan-ru YANG Jun CHEN Hui-ping QIAN Yun-liang |
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| Abstract: | Objective To explore the methods and significance of cervico-mandibular angle formation in the reconstruction of neck scar contracture. Methods Forty-three patients with cervical scar contracture deformity were repaired by free skin graft, platysma flap graft to deepen the cervico-mandibular angle, single free flap graft, double-lobe free flap graft, and mentoplasty after cervical scar resection. Results All patients were satisfactory with marked cervico-mandibular angle and function restoration after the operations, and 21 cases still had visible cervico-mandibular angle without secondum contracture after 6 months follow up. Conclusion The cervico-mandibular angle is significant for both the appearance and function of the neck, and cervico-mandibular angle formation is a key point in the reconstruction of neck scar contracture. |
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| Keywords: | neck scar contracture cervico-mandibular angle |
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