Hifny Mahmoud A, Ogawa Rei
Department of Plastic Surgery, Faculty of Medicine, Qena University Hospital, South Valley University, Qena, Egypt.
Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, Tokyo, Japan.
Arch Plast Surg. 2024 Feb 7;51(1):126-129. doi: 10.1055/a-2189-9767. eCollection 2024 Jan.
The square flap method has been successful in releasing contracture bands at various body regions. However, the original square flap method alone may not be efficient in releasing long contracture bands. We, therefore, proposed an extended design to the traditional design, which is called the "square-plus flap." A 4-year-old girl presented with a postburn web-like contracture band over the right axilla. We marked a square flap technique at the center of the contracture band and then two additional Z-plasties were placed on both edges of the flap. After the release and securing of the square flap, the adjacent distal Z-plasty was then transposed and sutured in their new locations. We do not need to incise the proximal Z-plasty as we could achieve complete relaxation of the contracture band. This novel modification can be added to the plastic surgeon's armamentarium for releasing long postburn contracture bands involving distinct body regions.
方形皮瓣法已成功用于松解身体各部位的挛缩带。然而，单纯的原始方形皮瓣法在松解较长的挛缩带时可能效率不高。因此，我们提出了一种在传统设计基础上的扩展设计，即“方形加皮瓣”。一名4岁女童右腋窝出现烧伤后蹼状挛缩带。我们在挛缩带中心标记了方形皮瓣技术，然后在皮瓣的两边额外做了两个Z成形术。在松解并固定方形皮瓣后，将相邻的远端Z成形术移位并缝合到新位置。我们无需切开近端Z成形术，因为这样就能使挛缩带完全松解。这种新颖的改良方法可补充到整形外科医生的技术库中，用于松解涉及不同身体部位的较长烧伤后挛缩带。
