Lim Dong Seob, Lee Do Heon, Kim Seong Hwan, Kim Kyung Pil, Hwang Jae Ha, Kim Kwang Seog, Lee Sam Yong
Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea.
Arch Craniofac Surg. 2017 Sep;18(3):172-178. doi: 10.7181/acfs.2017.18.3.172. Epub 2017 Sep 26.
The conventional cervicofacial flap may cause the aesthetic problem of sideburns with a mismatched shape and arrangement. We developed a modified method with the goals of minimizing the destruction of the shape and arrangement of the sideburns and minimizing complications in comparison with the conventional method.
The incision line was designed to descend just in front of the sideburns, without passing through them, and then to ascend with the sideburns posteriorly when a cervicofacial flap is performed, unlike the conventional method. Patients in whom this method was applied (group B) and patients who underwent surgery using the conventional method (group A) were investigated in a retrospective study. The method was evaluated by assessing changes in the arrangement of the sideburns and patients' satisfaction, and differences in the complication rate.
In group A, 23 of the 31 patients experienced changes in the arrangement of their sideburns. Most patients who experienced a change in the arrangement of their sideburns were dissatisfied with the change. The patients in group B did not experience such changes, and the defects were well reconstructed. Most of them were satisfied with the final sideburn arrangement.
A novel method was used to preserve the sideburns while performing a cervicofacial flap. As a result, the appearance of the sideburns was well preserved and the satisfaction of patients was also high. Moreover, this technique could also prove useful for reconstruction without any increase in complications compared to the conventional method.
传统的面颈皮瓣可能会导致鬓角出现形状和排列不匹配的美学问题。我们开发了一种改良方法，目标是与传统方法相比，尽量减少对鬓角形状和排列的破坏，并尽量减少并发症。
与传统方法不同，在进行面颈皮瓣手术时，设计的切口线在鬓角前方刚好向下延伸，不穿过鬓角，然后与鬓角一起向后上方延伸。在一项回顾性研究中，对应用该方法的患者（B组）和采用传统方法进行手术的患者（A组）进行了调查。通过评估鬓角排列的变化、患者满意度以及并发症发生率的差异来评价该方法。
A组31例患者中有23例鬓角排列发生变化。大多数鬓角排列发生变化的患者对这种变化不满意。B组患者未出现此类变化，缺损得到良好修复。他们中的大多数对最终的鬓角排列感到满意。
在进行面颈皮瓣手术时采用了一种新方法来保留鬓角。结果，鬓角的外观得到了很好的保留，患者的满意度也很高。此外，与传统方法相比，该技术在不增加并发症的情况下也可证明对重建有用。
