Kraus Armin, Schaller Hans-Eberhard, Rennekampff Hans-Oliver
Department for Hand, Plastic, Reconstructive and Burn Surgery, BG Trauma Center, Eberhard Karls Universität Tübingen, Germany.
Eplasty. 2008 Feb 15;8:e13.
Mentosternal contracture, a complication of deep thermal injury to the neck, results in significant functional and esthetic problems. A new method of reconstructing this deformity is described.
We present a case of a 5-year-old patient with severe mentosternal contracture, treated with a large occipito-scapular island flap (24 cm x 10 cm) augmented by anastomosing the circumflex scapular artery to the facial artery.
A 46% functional improvement in the range of motion was achieved, and an esthetically pleasing appearance was obtained.
This case report demonstrates the occipitocervical dorsal flap to be an excellent option for mentosternal contracture release. Microvascular flap perfusion augmentation should be considered even in cases of limited vascular dimensions as is often seen in the pediatric patient population.
颏胸挛缩是颈部深度热烧伤的一种并发症，会导致严重的功能和美观问题。本文描述了一种重建这种畸形的新方法。
我们报告一例5岁严重颏胸挛缩患者，采用大型枕肩胛岛状皮瓣（24 cm×10 cm）治疗，并将旋肩胛动脉与面动脉吻合以增强皮瓣血供。
活动范围功能改善了46%，外观美观。
本病例报告表明，枕颈背侧皮瓣是松解颏胸挛缩的极佳选择。即使在血管尺寸有限的情况下，如儿科患者中常见的情况，也应考虑微血管皮瓣灌注增强。
