肩胛旁游离皮瓣修复严重面部瘢痕挛缩
[The window parascapular free flap for the treatment of severe facial scar contracture].
作者信息
Li Y, Li S, Liu Y
机构信息
Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing 100041, China.
出版信息
Zhonghua Zheng Xing Wai Ke Za Zhi. 2001 Sep;17(5):264-6.
OBJECTIVE
To present the clinical application of the window parascapular free flap.
METHOD
The window parascapular free flap was used in 6 cases of serious facial burn scar contracture. The age of the patients ranged from 5 to 17 years. Based on circumflex scapular vessels, small windows were made on the flap for the palpebral fissure, the oral fissure, the nostrils or the external auditory meatus. The flap size ranged from 15 cm x 8 cm to 17 cm x 17 cm. All the free flaps were successful.
RESULTS
With the survival of the free flap, the nose, the lids, the lips, etc. were reconstructed at the same time and obtained good appearance.
CONCLUSION
For repair of serious facial burn scar contracture, the window parascapular free flap was successfully used to reconstruct the eye, the mouth, the nose and the ear. The method is safe and reliable because the blood supply of the scapular free flap was not affected by the opening.
目的
介绍肩胛旁带蒂皮瓣的临床应用。
方法
对6例重度面部烧伤瘢痕挛缩患者采用肩胛旁带蒂皮瓣修复。患者年龄5～17岁。以旋肩胛血管为蒂，在皮瓣上制作小窗口用于睑裂、口角、鼻孔或外耳道。皮瓣大小为15 cm×8 cm至17 cm×17 cm。所有带蒂皮瓣均成活。
结果
带蒂皮瓣成活后，同期修复鼻、眼睑、唇等，外形良好。
结论
肩胛旁带蒂皮瓣成功用于重度面部烧伤瘢痕挛缩修复，同期再造眼、口、鼻、耳。该方法安全可靠，因为肩胛带蒂皮瓣的血供不受开窗影响。
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