Holzbach Thomas, Danuser Katarina, Hagen Christine Sophie, Ehrl Denis, Leitsch Sebastian
Department of Hand and Plastic Surgery, Thurgau Hospital Group, 8500 Frauenfeld, Switzerland.
Divison of Hand, Plastic and Aesthetic Surgery, University Hospital LMU Munich, 80336 Munich, Germany.
J Clin Med. 2024 Sep 24;13(19):5659. doi: 10.3390/jcm13195659.
Various techniques for neo-omphaloplasty (or umbilicoplasty/umbiliconeoplasty) have been established in recent decades. However, when the omphaloplasty must be integrated into a vertical scar, most of these techniques are unsuitable. We established a technique comprising two "cross-border" trapezium flaps that come together in a key-lock fashion to be applicable for umbilical reconstruction in vertical scars. Between 2020 and 2023, we performed the double trapezium flap technique in 11 patients requiring abdominal wall correction due to previous operations resulting in the loss of the original navel and a vertical midline scar. The follow-up period was 12 months. We encountered two minor wound healing disorders not involving the omphaloplasty. One patient experienced a more severe wound healing complication involving the vertical scar and the lower flap of the neo-umbilicus. No cases of umbilical flattening or detachment of the anchorage stitches were detected. Patients ranked the aesthetic outcomes as "excellent" ( = 9) or "good" ( = 2). Physicians ranked the results as "excellent" ( = 7), "good" ( = 4), and "average" ( = 1). For the selected patients, this technique appears to be a good and reliable option to create a natural looking neo-umbilicus, creating sufficient umbilical depth with minimal scarring. While a study population of 11 patients is hardly enough to endorse a new technique, appropriate cases are comparatively rare and very specific.
近几十年来，已经建立了多种用于新脐成形术（或脐成形术/脐整形术）的技术。然而，当脐成形术必须整合到垂直瘢痕中时，这些技术大多并不适用。我们建立了一种技术，该技术包括两个以钥匙锁方式结合在一起的“跨界”梯形皮瓣，适用于垂直瘢痕中的脐重建。在2020年至2023年期间，我们对11例因先前手术导致原肚脐缺失和垂直中线瘢痕而需要腹壁矫正的患者实施了双梯形皮瓣技术。随访期为12个月。我们遇到了两例不涉及脐成形术的轻微伤口愈合障碍。一名患者经历了更严重的伤口愈合并发症，涉及垂直瘢痕和新肚脐的下皮瓣。未检测到脐部扁平或固定缝线脱落的病例。患者将美学效果评为“优秀”（=9）或“良好”（=2）。医生将结果评为“优秀”（=7）、“良好”（=4）和“一般”（=1）。对于选定的患者，这项技术似乎是一种良好且可靠的选择，可以创造出外观自然的新肚脐，以最小的瘢痕形成获得足够的脐部深度。虽然11例患者的研究群体几乎不足以认可一项新技术，但合适的病例相对罕见且非常特殊。
