From the Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China.
Ann Plast Surg. 2022 Feb 1;88(2):162-167. doi: 10.1097/SAP.0000000000002985.
Extensive cervicofacial reconstruction is challenging for plastic surgeons. Because of the location of the adjacent scalp flap nourished by the superficial temporal artery (STA), it can be a candidate for cervicofacial reconstruction.
This article aims to report a combined treatment of an expanded island STA flap and an 810-nm diode laser hair removal technique for extensive cervicofacial defects.
Between January 2015 and December 2018, 10 patients with lower face and neck scar contraction were reconstructed with a bilateral or unilateral expanded STA island flap and an 810-nm diode laser for hair removal in this retrospective study. Hair removal via the 810-nm laser was started when the injected volume reached the volume of the expander, with a fluence of 35 to 40 J/cm2 and a 1 to 2 Hz repetition rate. Before second-stage surgery, the hair reduction rate was assessed. Twelve months after surgery, the degree of epilation efficacy according to the satisfaction scale and Global Aesthetic Improvement Scale was evaluated.
This study included 2 single-pedicle flaps and 8 double-pedicle flaps. The average size of the implanted expanders was 600 mL. The average injected volume was 1405 mL. Before second surgery, there was a 67.4% hair reduction rate. Twelve months after surgery, the results of Global Aesthetic Improvement Scale were very good (3), good (6), average (1), and poor (0).
The expanded island STA flap and 810-nm diode laser technique may be a novel treatment option for severe face and neck aesthetic reconstruction.
广泛的头颈部重建对整形外科医生来说是一个挑战。由于毗邻头皮瓣由颞浅动脉（STA）供养，因此它是头颈部重建的候选部位。
本文旨在报告一种联合应用扩张岛状 STA 皮瓣和 810nm 半导体激光脱毛技术治疗广泛头颈部缺损的方法。
在这项回顾性研究中，2015 年 1 月至 2018 年 12 月，10 例面下部和颈部瘢痕挛缩患者采用双侧或单侧扩张 STA 岛状皮瓣和 810nm 半导体激光进行脱毛。当注射量达到扩张器的体积时，开始用 810nm 激光进行脱毛，能量密度为 35 至 40J/cm2，重复频率为 1 至 2Hz。在二期手术前，评估脱毛率。术后 12 个月，根据满意度量表和全球美学改善量表评估脱毛效果。
本研究包括 2 例单蒂皮瓣和 8 例双蒂皮瓣。植入扩张器的平均大小为 600ml。平均注射量为 1405ml。二期手术前，毛发减少率为 67.4%。术后 12 个月，全球美学改善量表的结果为很好（3）、好（6）、一般（1）和差（0）。
扩张岛状 STA 皮瓣和 810nm 半导体激光技术可能是严重面颈部美容重建的一种新的治疗选择。
