Grishkevich V M, Filippova I V, Madazimov M M
Klin Khir (1962). 1990(3):17-20.
The authors treated 324 patients with postburn scar deformations of the lower third of the face. It was established that the postburn deformation of a face should be eliminated after conservative treatment and "scar maturation" in one step, removing the scars along the intermediate layer without damaging the subcutis. When performing this, it is necessary to restore the filtrum, mental fossa and commissures of the mouth slit with the trapeziform flaps. The best plastic material is the intact skin of the submaxillary region and neck, the deltopectoral and brachiopectoral fasciocutaneous flaps can be used. It is necessary to perform strictly a number of technical manoeuvres at all the stages of operation.
作者对324例面部下三分之一烧伤后瘢痕畸形患者进行了治疗。结果表明，面部烧伤后畸形应在保守治疗和“瘢痕成熟”后一次性消除，沿中间层切除瘢痕，不损伤皮下组织。进行此项操作时，需要用梯形皮瓣修复鼻小柱、颏窝和口角。最佳的整形材料是颌下区和颈部的完好皮肤，也可使用三角胸皮瓣和臂胸筋膜皮瓣。在手术的各个阶段都必须严格执行一系列技术操作。
