胸部瘢痕疙瘩切除术后美学重建的幸运饼干皮瓣：一个小病例系列
The fortune cookie flap for aesthetic reconstruction after chest keloid resection: a small case series.
作者信息
Park Tae Hwan, Lee Jang Won, Kim Chan Woo
机构信息
Department of Plastic and Reconstructive Surgery, CHA Bundang Medical Center, CHA University, 59 Yatap-ro, Bundang-gu, Seongnam, Gyeonggi, 13496, Republic of Korea.
出版信息
J Cardiothorac Surg. 2018 Apr 19;13(1):31. doi: 10.1186/s13019-018-0713-x.
BACKGROUND
Generally, the recurrence rate of keloids is unacceptably high after surgical excision alone. Nevertheless, surgical reduction of keloids is inevitable in many cases. The reconstruction of extensive soft tissue defects following complete keloid resection is challenging to surgeons. In this study, we present our clinical experience using a novel fortune cookie flap for treating chest keloids. This flap provides an excellent surgical option that maintains natural appearance with minimal donor-site morbidity.
METHODS
We retrospectively reviewed the data from 3 consecutive cases of reconstruction using the fortune cookie flap following resection of chest keloids between March and December, 2017.
RESULTS
Successful reconstructions were performed without any major complications. The mean dimensions of the reconstructed defect were 5.0 × 4.2 cm, while the mean dimensions of the flap were 7.7 × 5.7 cm.
CONCLUSIONS
Owing to its simplicity, reliability, versatility, minimal morbidity and excellent aesthetics, the fortune cookie flap is as an excellent option for reconstruction following complete keloid resection on the chest.
背景
一般来说，单纯手术切除后瘢痕疙瘩的复发率高得令人难以接受。然而，在许多情况下，手术缩小瘢痕疙瘩是不可避免的。完全切除瘢痕疙瘩后广泛软组织缺损的重建对外科医生来说具有挑战性。在本研究中，我们展示了使用一种新型“幸运饼干”皮瓣治疗胸部瘢痕疙瘩的临床经验。该皮瓣提供了一种极佳的手术选择，能以最小的供区并发症维持自然外观。
方法
我们回顾性分析了2017年3月至12月期间连续3例使用“幸运饼干”皮瓣修复胸部瘢痕疙瘩切除术后缺损的数据。
结果
成功完成修复，无任何严重并发症。重建缺损的平均尺寸为5.0×4.2厘米，而皮瓣的平均尺寸为7.7×5.7厘米。
结论
由于其操作简单、可靠、用途广泛、并发症少且美观效果极佳，“幸运饼干”皮瓣是胸部瘢痕疙瘩完全切除术后重建的理想选择。
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