Department of Plastic Surgery, Faculty of Medicine, Cairo University, Egypt.
J Craniomaxillofac Surg. 2010 Jul;38(5):365-7. doi: 10.1016/j.jcms.2009.10.007. Epub 2009 Dec 1.
We report a case of a 35-year-old woman who presented with post-burn neck scar contracture with massive scarring of the neck and lower face. The initial step was to release the contracture with excision of the scar tissue together with coverage of the resultant defect with a latissmus dorsi musculocutaneous flap. Six months later, we implanted a round tissue expander underneath the flap with steady cautious expansion over the following 7 months to almost double the original flap dimensions to achieve an additional replacement of the scar tissue over the upper neck and lower face.
我们报告了一例 35 岁女性，因烧伤后颈部瘢痕挛缩导致颈部和下部面部大量瘢痕。初始步骤是通过切除瘢痕组织并使用背阔肌皮瓣覆盖由此产生的缺陷来松解挛缩。6 个月后，我们在皮瓣下植入了一个圆形组织扩张器，并在接下来的 7 个月内进行稳定谨慎的扩张，使原始皮瓣的尺寸增加近一倍，以在上颈部和下部面部实现额外的瘢痕组织替代。
