Hallock G G, Okunski W J
Division of Plastic Surgery, Allentown Affiliated Hospitals, PA.
J Burn Care Rehabil. 1987 Sep-Oct;8(5):387-90. doi: 10.1097/00004630-198709000-00010.
Major disturbances of shoulder function secondary to axillary burn contracture require some form of surgical release if conservative therapy has been unsuccessful. Any area large enough to need extensive skin grafts should be considered for reconstruction using a parascapular fasciocutaneous flap. This flap, which may be elevated easily, provides an option for single-stage correction of the deformity without the need for long-term rehabilitation or splinting.
如果保守治疗失败,因腋窝烧伤挛缩继发的严重肩部功能障碍需要某种形式的手术松解。任何面积大到需要广泛植皮的区域,都应考虑用肩胛旁筋膜皮瓣进行重建。这种皮瓣易于掀起,为畸形的一期矫正提供了一种选择,无需长期康复或使用夹板。