软组织扩张术治疗大面积头面部瘢痕

目的 探讨大面积头面部瘢痕的治疗方法.方法 头部采用1～3个扩张器行头部皮肤软组织扩张术.面部瘢痕均采用胸三角皮瓣预扩张后带蒂转移修复.结果 2003年至2007年,于临床应用12例,头胸部皮肤扩张充分.其中胸三角皮瓣预扩张的2例患者.扩张器自切口处外露,但未影响手术效果;3例因扩张过程中,注水过多,致妊娠纹形成.皮瓣转移后均无血运障碍成活良好,供区直接拉拢缝合,效果满意.结论 皮肤软组织扩张术是治疗大面积头面部瘢痕的较好方法.

Expanded skin flaps for the treatment of large scalp and face scar

Objective To explore the method to repair large scalp and face scars.Methods 1～3 expanders under the scalp were needed for repair the scalp scar. The expanded deltopectoral flaps were transferred to repair the face scar.Results 12 cases were treated with satisfactory results.All the flaps survived and the donor sites were dosed primarily.2 cases had expander exposure which didn't affect the treatment results.Atrophic cutaneous straie was occurred because of overexpansion.Conclusions Skin expansion is a good method for large scalp and face scar.