Qassim Y N, Ali A A, Alfeehan M J, Albayati W K
College of Medicine, University of Baghdad, Baghdad, Iraq.
College of Medicine, University of Kirkuk, Kirkuk.
Ann R Coll Surg Engl. 2020 Oct;102(8):621-624. doi: 10.1308/rcsann.2020.0154. Epub 2020 Jul 31.
Depressed tethered scar is a common problem that can cause emotional, social and behavioural problems, especially when it involves the exposed body parts. Several techniques have been described for treating these depressed scars, but none of these can fulfil the optimal results.
Evaluating the aesthetic outcome of using a double vest lipodermal flaps for treating depressed facial scars.
The study included 25 patients with depressed facial scars who underwent scar revision. Their mean age was 31 years. Under local anaesthesia, the scarred area was de-epithelialised and double dart lipodermal flaps were used for revision. Visual analogue and Vancouver scar scales were used as subjective and objective parameters of evaluation, respectively.
All the patients followed up for five to eight months. No complications were observed during the scar healing period. Patients satisfaction according to the visual analogue scale showed an average value of 8. The mean total scale according to the Vancouver scar scale was 2.6.
The new technique of using double vest lipodermal flaps is simple and offers a promising alternative for revising depressed scars.
凹陷性束缚瘢痕是一个常见问题，可导致情绪、社交和行为问题，尤其是当它累及身体暴露部位时。已经描述了几种治疗这些凹陷性瘢痕的技术，但没有一种能达到最佳效果。
评估使用双蒂脂肪皮瓣治疗面部凹陷性瘢痕的美学效果。
该研究纳入了25例接受瘢痕修复的面部凹陷性瘢痕患者。他们的平均年龄为31岁。在局部麻醉下，对瘢痕区域进行去上皮处理，并使用双蒂脂肪皮瓣进行修复。视觉模拟评分法和温哥华瘢痕量表分别用作主观和客观评估参数。
所有患者随访5至8个月。瘢痕愈合期间未观察到并发症。根据视觉模拟评分法，患者满意度的平均值为8。根据温哥华瘢痕量表，平均总分是2.6。
使用双蒂脂肪皮瓣的新技术简单，为修复凹陷性瘢痕提供了一种有前景的替代方法。
