双侧扩张颈肩皮瓣修复颈部瘢痕挛缩畸形

目的 探讨采用双侧颈肩皮肤扩张术修复颈部瘢痕变化空畸形的方法。以增加颈部瘢痕挛缩畸形的修复手段。方法 对１２例颈部瘢痕挛缩畸形患者先行双侧戏肩皮瓣供区预扩张术,二期行扩张皮瓣转移修复颈部产痕切除后创面,两次手术均注意该区供应血管的了无损。结果 术后１２例患者的２４个皮瓣全部成活。术后随访６个月～１年者７全忽有患者颌颈部形态效果满意,功能明显改善,未见继发挛缩。结论 颈肩扩张皮瓣是修复颈部瘢痕挛缩畸

Transposition of expanded cervical-shoulder skin flaps for the repair of cicatricial contracture deformity of neck

Objective To evaluate the efficacy of expanded cervical shoulder skin flap in the treatment of cicatricial contracture deformity of neck, and improve the method for the repair of soft tissue defect of neck. Method 12 patients with cicatricial contracture of neck were treated by preexpanded cervical shoulder skin flap and then transposition for the reconstruction of the defect after cervical scar resection. ]Result All the 24 flaps were survived. Postoperative follow up for 6 months to one year showed that the cervico mandibular function and the external appearance of the flaps were satisfactory without swelling and contracture. Conclusion Preexpanded cervical shoulder skin flap is available for the treatment of cicatricial constructure deformity of neck.