Liotta Dara R, Costantino Peter D, Hiltzik David H
Department of Otolaryngology, Lenox Hill Hospital, New York Head and Neck Institute, Northshore-LIJ Health System, New York, New York, USA.
Facial Plast Surg. 2012 Oct;28(5):492-6. doi: 10.1055/s-0032-1325649. Epub 2012 Oct 1.
Large scars in the head and neck are often the cause of significant emotional distress to patients, and often present unique challenges to the plastic and reconstructive surgeon undertaking their revision. The primary goal of scar revision is to eliminate compromise of function that may have resulted from scar contracture; a secondary goal is to improve the appearance of the scar. Special techniques for the revision of large scars include serial partial excision, rapid intraoperative or prolonged tissue expansion, split- and full-thickness skin grafting, regional flaps, and free microvascular tissue transfer. Recent research has investigated the use of artificial skin and autologous fat grafting for large scar revision.
头颈部的大面积瘢痕常常给患者带来巨大的情感困扰，并且给进行修复手术的整形和重建外科医生带来独特的挑战。瘢痕修复的主要目标是消除瘢痕挛缩可能导致的功能障碍；次要目标是改善瘢痕外观。大面积瘢痕修复的特殊技术包括连续部分切除、术中快速或长期组织扩张、中厚皮片和全厚皮片移植、局部皮瓣以及游离微血管组织移植。最近的研究探讨了人工皮肤和自体脂肪移植在大面积瘢痕修复中的应用。
