Hove C R, Williams E F, Rodgers B J
Section of Facial Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, CA 94305, USA.
Facial Plast Surg. 2001 Nov;17(4):289-94. doi: 10.1055/s-2001-18828.
One of the most commonly used techniques in facial plastic surgery is the Z-plasty. Main reasons to perform these transposition flaps are to lengthen a pre-existing scar, to camouflage a scar, or to realign a scar. The classic 60 degrees Z-plasty allows a 75% increase in scar length and is the cornerstone against which all variations are compared. Understanding the classic Z-plasty permits the surgeon to expand his or her repertoire to include the numerous variations thereof. The double-opposing Z-plasty, unequal triangle Z-plasty, four-flap Z-plasty, compound Z-plasty, and planimetric Z-plasty are the most frequent variants of the basic Z-plasty. Each are presented with illustrations and clinical indications.
Z成形术是面部整形手术中最常用的技术之一。进行这些换位皮瓣手术的主要原因是延长已有的瘢痕、隐匿瘢痕或调整瘢痕方向。经典的60度Z成形术可使瘢痕长度增加75%，是所有变体与之比较的基础。了解经典的Z成形术可使外科医生扩展其手术方法，将众多变体纳入其中。双反向Z成形术、不等边三角形Z成形术、四瓣Z成形术、复合Z成形术和平面测量Z成形术是基本Z成形术最常见的变体。每种变体都配有插图和临床适应证说明。
