Staindl O, Chmelizek-Feurstein C
HNO. 1983 Jun;31(6):183-92.
According to Clodius the scar is the surgeon's best advertisement. However, the development and formation of a scar does not always depend solely on surgical technique. The type and site of traumatic wounds, disordered wound healing and a keloid tendency are all factors which may lead to an unsatisfactory scar, requiring later revision. The basic principles of scar correction and various operative techniques are described in the present paper: 1. Linear operation techniques: Scar excision, W-plasty, VY-plasty, Broken line technique. 2. Regional flaps: Z-plasty, rhomboid flap. 3. Free grafts. Finally the basic principles of dermabrasion are presented. In addition the problem of keloid-formation, its prophylaxis and therapy are discussed.
据克洛狄乌斯所言,疤痕是外科医生最好的广告。然而,疤痕的发展与形成并不总是仅仅取决于手术技巧。创伤伤口的类型与部位、伤口愈合紊乱以及瘢痕疙瘩倾向都是可能导致疤痕不尽人意、需要后期修复的因素。本文描述了疤痕矫正的基本原则及各种手术技巧:1. 线性手术技巧:疤痕切除术、W 成形术、VY 成形术、折线技术。2. 局部皮瓣:Z 成形术、菱形皮瓣。3. 游离移植。最后介绍了磨皮术的基本原则。此外,还讨论了瘢痕疙瘩形成的问题、预防及治疗。