Motamed Sadrallah, Davami Babak, Daghagheleh Hamid
Department of Plastic Surgery, 15th Khordad Hospital, Shahid Beheshti University, ABAN Avenue, Tehran, Iran.
Burns. 2004 Aug;30(5):476-80. doi: 10.1016/j.burns.2004.02.006.
Scarring of the neck produces problems with function and appearance. The highly mobile anterior neck with its thin skin cover is particularly prone to flexion contractures that can range from minimally restrictive to crippling mentosternal synechiae. The trapezius muscle is the basis for muscle and musculocutaneous flaps that are of great usefulness in reconstructing defects of the head and neck and the upper back specially when there are no other regional flaps available. Use of trapezius musculocutaneous flap in the treatment of cicatricial contracture deformity of neck results in satisfactory function and external appearance and is a good method for the repair of soft tissue defects of the neck with the advantage of invariable blood supply. There is no deformation in the donor region which is hidden posteriorly. Its blood supply is rich enough to avoid any local necrosis after transplantation. Up to the present time this flap has been used to cover defects following excision of tumors in the head and upper parts of neck. Use of the trapezius musculocutaneous flap in seven patients who suffered from severe scarring in anterior neck and shoulder due to burn during an 8-year period (1995-2003) is described with good results achieved.
颈部瘢痕会导致功能和外观问题。颈部前方活动度高且皮肤薄，特别容易出现屈曲挛缩，其范围从限制极小到导致严重的颏胸粘连。斜方肌是肌肉瓣和肌皮瓣的基础，在修复头颈部和上背部缺损时非常有用，特别是在没有其他局部皮瓣可用时。使用斜方肌肌皮瓣治疗颈部瘢痕挛缩畸形，功能和外观效果满意，是修复颈部软组织缺损的良好方法，具有血供恒定的优点。供区位于后方，不易变形。其血供充足，移植后可避免局部坏死。到目前为止，该皮瓣已用于覆盖头颈部上部肿瘤切除后的缺损。本文描述了1995年至2003年8年间，7例因烧伤导致颈部前方和肩部严重瘢痕的患者使用斜方肌肌皮瓣的情况，取得了良好效果。
