Hyakusoku Hiko, Iwakiri Itaru, Murakami Masahiro, Ogawa Rei
Department of Plastic and Reconstructive Surgery, Nippon Medical School, 1-1-5 Sendagi Bunkyo-ku, Tokyo 113-8603, Japan.
Burns. 2006 Nov;32(7):891-6. doi: 10.1016/j.burns.2006.03.017. Epub 2006 Sep 14.
Extensively burned patients often lack ample healthy skin for autotransplantation. Scar contractures are then frequent. Here, we reconstructed contractures using flaps of remaining healthy skin around the recipient sites. In this report, we present four original scar contracture repair methods using subcutaneous pedicled flaps: (1) Propeller flap, (2) multilobed propeller flap, (3) scar-band rotation flap and (4) pin-wheel flap. The subcutaneous pedicle under the center of these various types of flaps allows these methods to be characterized as "central axis flap methods." We have employed these flaps to treat mild scar contractures in the axilla and cubital fossa. These methods are easily manipulated to restore function and improve aesthetics of scar contractures.
大面积烧伤患者通常缺乏足够的健康皮肤用于自体移植。因此，瘢痕挛缩很常见。在这里，我们使用受区周围剩余的健康皮肤皮瓣来重建挛缩。在本报告中，我们介绍了四种使用皮下带蒂皮瓣修复瘢痕挛缩的原始方法：（1）推进皮瓣，（2）多叶推进皮瓣，（3）瘢痕带旋转皮瓣和（4）风车皮瓣。这些不同类型皮瓣中心下方的皮下蒂使得这些方法被归类为“中轴线皮瓣法”。我们已使用这些皮瓣治疗腋窝和肘窝的轻度瘢痕挛缩。这些方法易于操作，可恢复瘢痕挛缩的功能并改善美观。
