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一种矫正条索状凹陷性瘢痕的新技术:分层真皮支撑术。

A New Technique for Correction of Tethered and Depressed Scars: Layered Dermal Support.

作者信息

Ceran Candemir, Aksam Ersin, Cicek Cagla, Tezcan Soner, Demirseren Mustafa Erol

机构信息

Plastic Reconstructive and Aesthetic Surgery Department, Ataturk Training and Research Hospital, Ankara, Turkey.

Plastic Reconstructive and Aesthetic Surgery Department, Akhisar State Hospital, Manisa, Turkey.

出版信息

Aesthetic Plast Surg. 2016 Oct;40(5):749-54. doi: 10.1007/s00266-016-0672-3. Epub 2016 Jul 1.

DOI:10.1007/s00266-016-0672-3
PMID:27369841
Abstract

BACKGROUND

Many methods have been used for correcting tethered and depressed scars, but most of these methods have had unsatisfying results and ended up with recurrence. The aim of this study is to present a new surgical technique that overcomes these problems.

MATERIALS AND METHODS

Twenty-two depressed scars were corrected using the layered dermal support technique. With this technique, the depressed part of the scar is deepithelialized and used in a layered fashion to support the skin flaps.

RESULTS

All of the patients were evaluated 1 year postoperatively. There was no recurrence of tethering or depression.

CONCLUSION

The layered dermal support technique is a relatively quick procedure that uses only basic plastic surgery principles. It offers a good solution for the correction of tethered and depressed scars without recurrence.

LEVEL OF EVIDENCE V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

背景

许多方法已被用于矫正条索状及凹陷性瘢痕,但这些方法大多效果不尽人意,最终导致复发。本研究的目的是提出一种克服这些问题的新手术技术。

材料与方法

采用分层真皮支撑技术矫正22例凹陷性瘢痕。通过该技术,将瘢痕的凹陷部分去上皮化,并分层用于支撑皮瓣。

结果

所有患者均在术后1年进行评估。未出现条索状或凹陷复发。

结论

分层真皮支撑技术是一种相对快捷的手术,仅使用基本的整形外科学原理。它为矫正条索状及凹陷性瘢痕且不复发提供了一个良好的解决方案。

证据等级V:本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述,请参阅目录或在线作者指南www.springer.com/00266 。

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