Zheng Xing-Yue, Guo Xin, Wang Tai-ling, Wang Jia-Qi
Plastic Surgery Hospital of Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, China.
Pediatr Surg Int. 2011 Dec;27(12):1295-300. doi: 10.1007/s00383-011-2948-7. Epub 2011 Aug 6.
We aimed to present the use of extended lower trapezius myocutaneous flaps in children with scaring and contractures of the face and neck due to burns.
We retrospectively reviewed the use of 12 extended trapezius myocutaneous flaps in 7 males and 4 females ranging in age from 1.5 to 7 years. An expander was embedded under the deep layer of the lower trapezius in order to ensure the integrity of the vascular network between the lower trapezius muscle and the skin. Dissection was performed at the deep layer of the supraspinous muscle where the descending branch of the transverse cervical artery passes between the deep layer of the trapezius muscle and the superficial layer of the supraspinous muscle.
All surgeries were performed successfully with no intraoperative complications. The flaps ranged in size from 30 × 18 cm to 38 × 22 cm. There were no postoperative complications, except for mild tip necrosis in one case. There were no donor site complications. All patients had good functional and cosmetic outcomes.
The extended lower trapezius myocutaneous flap is valuable in the management of burn reconstruction in the pediatric population.
我们旨在介绍在因烧伤导致面部和颈部瘢痕挛缩的儿童中使用扩大的下斜方肌肌皮瓣的情况。
我们回顾性分析了12例扩大的斜方肌肌皮瓣的使用情况，这些患儿年龄在1.5至7岁之间，其中男性7例，女性4例。在下斜方肌深层植入扩张器，以确保下斜方肌与皮肤之间血管网络的完整性。在棘上肌深层进行解剖，颈横动脉降支在斜方肌深层与棘上肌浅层之间通过。
所有手术均成功完成，术中无并发症。皮瓣大小从30×18厘米至38×22厘米不等。除1例出现轻度皮瓣尖端坏死外，无术后并发症。供区无并发症。所有患者功能和外观效果良好。
扩大的下斜方肌肌皮瓣在小儿烧伤重建治疗中具有重要价值。
