Ramos Roberto Rudge, Ferreira Lydia Masako
Division of Plastic Surgery, UNIFESP, São Paulo, SP, Brazil.
Division of Plastic Surgery, UNIFESP, São Paulo, SP, Brazil; Federal University of São Paulo, Division of Plastic Surgery, São Paulo, SP, Brazil.
Burns. 2017 Aug;43(5):e1-e4. doi: 10.1016/j.burns.2017.03.031. Epub 2017 May 12.
This study presents 3 cases of women ages ranged from 25 to 52 years with anterior cervical contractures caused by burns that resulted in functional and aesthetic deficit. Contracture release in 3 patients and reconstruction was done using a sub-fascial flap whose main pedicle was the supraclavicular artery and the occipito-postero-cervical vessels that were preserved. The flap was designed differently from the classically described that uses the skin of the shoulder but which presents differences of color and texture with relation to the skin of the neck. The results were satisfactory and no complications such as infections or necrosis.
本研究报告了3例年龄在25至52岁之间的女性,她们因烧伤导致颈前部挛缩,造成功能和美观缺陷。对3例患者进行了挛缩松解和重建手术,采用以保留的锁骨下动脉和枕后颈血管为主要蒂的筋膜下皮瓣。该皮瓣的设计与经典描述的使用肩部皮肤的皮瓣不同,后者与颈部皮肤在颜色和质地方面存在差异。结果令人满意,未出现感染或坏死等并发症。