Staindl O
Laryngol Rhinol Otol (Stuttg). 1986 Oct;65(10):538-44.
Three different operating techniques can be used for scar-correction: Linear Revision-techniques as simple excisions, W-plasties, broken-line-technique. Regional flaps as Z-plasty, VY-plasty, rhomboid flaps. Both are suitable for correcting the size and direction of scars. They are mainly used for cosmetically (e. g. relatively) indicated corrections. Free grafts. A scar causing functional disability usually represents an absolute indication for surgery, such as scarring defects, shrinking scars, keloids as well as the scar carcinoma. Typical indications for scar correction using free grafts in the head and neck area are discussed in the present paper. Different methods of choice are full skin grafts, split skin grafts, composite grafts and free transplants using microvascular anastomosis. This techniques do not normally achieve a satisfactory result from a cosmetic point of view but only the functional rehabilitation of the patient.
线性修复技术，如单纯切除术、W形修复术、折线技术；局部皮瓣，如Z形皮瓣、VY皮瓣、菱形皮瓣。这两种方法都适用于矫正瘢痕的大小和方向。它们主要用于美容方面（例如相对而言）的矫正。游离移植。导致功能障碍的瘢痕通常是手术的绝对指征，如瘢痕缺损、挛缩性瘢痕、瘢痕疙瘩以及瘢痕癌。本文讨论了头颈部使用游离移植进行瘢痕矫正的典型指征。可供选择的不同方法有全厚皮片移植、中厚皮片移植、复合移植以及使用微血管吻合的游离移植。从美容角度来看，这些技术通常无法取得令人满意的效果，而只能实现患者的功能康复。
