Du Wei-Li, Hu Xiao-Hua, Shen Yu-Ming, Zhang Guo-An
Department of Burns, Beijing Jishuitan Hospital, Beijing 100035, China.
Zhonghua Shao Shang Za Zhi. 2012 Aug;28(4):253-5.
To observe the therapeutic effect of supraclavicular island flap in repairing deep burn wound of neck.
Six patients with deep burn of neck hospitalized from January 2009 to June 2011 were enrolled in the study. Their total burn area ranged from 6% to 22% TBSA, of which full-thickness area ranged from 3% to 22% TBSA. The neck wound ranged from 12 cm x 5 cm to 15 cm x 8 cm in area, and they were all full-thickness in depth. One of the neck wounds was covered with granulation tissue. Patients underwent either debridement and escharectomy or excision of granulation tissue for the neck wound, and they were covered with supraclavicular island flap designed with the size corresponding to that of wound area. Four donor sites were sutured directly. The other two donor sites were covered with free skin graft. Survival of flaps and healing of donor sites were observed. The appearance and function recovery of operative regions were followed up.
Supraclavicular island flaps of 6 patients survived as a whole. All the donor sites healed well. Flaps with satisfactory appearance and feeling sensation, accompanied by unlimited extension of neck were observed in the follow-up duration from 6 to 12 months. Scars observed in the flap edge and the donor sites were linear, and they did not affect the overall appearance and function of patients.
Supraclavicular island flap is a good choice for repairing deep burn wound of neck, and it gives a good shape and function recovery of the neck.
观察锁骨上岛状皮瓣修复颈部深度烧伤创面的治疗效果。
选取2009年1月至2011年6月住院治疗的6例颈部深度烧伤患者。其烧伤总面积为6%～22%TBSA，其中Ⅲ度面积为3%～22%TBSA。颈部创面面积为12 cm×5 cm至15 cm×8 cm，均为全层深度。其中1例颈部创面覆盖肉芽组织。患者均行颈部创面清创、焦痂切除或肉芽组织切除，采用与创面面积相对应大小设计的锁骨上岛状皮瓣覆盖。4个供区直接缝合，另外2个供区行游离皮片移植。观察皮瓣存活及供区愈合情况，并对手术区域外观及功能恢复情况进行随访。
6例患者的锁骨上岛状皮瓣全部成活，所有供区均愈合良好。随访6～12个月，皮瓣外观及感觉良好，颈部活动不受限。皮瓣边缘及供区瘢痕呈线状，不影响患者整体外观及功能。
锁骨上岛状皮瓣是修复颈部深度烧伤创面的良好选择，可使颈部外形及功能恢复良好。
