Pestalardo C M, Cordero A, Ansorena J M, Bestue M, Martinho A
Department of Dermatologic Surgery, Hospital de Clinicas, Universidad de Buenos Aires, Argentina.
Dermatol Surg. 1995 Aug;21(8):723-4.
Acne keloidalis nuchae (AKN) is a chronic idiopathic reaction responsible for a great deal of discomfort in patients, and requires radical treatment to be eradicated.
To analyze the technique used for and the results of a case of AKN treated with tissue expansion, which was tracked for 2 years after the initial study.
A patient with AKN was treated with chronic tissue expansion, total resection, and reconstruction of the injured area by advancing the flap of the expanded scalp. Local radiotherapy was applied to the resultant scar.
After 2 years' follow-up we did not observe a recurrence of AKN, and a good cosmetic result was achieved.
Tissue expansion has a role in surgical management of AKN. Staged excision, skin grafting, and nonsurgical treatments are also options, however they must be individualized to the case at hand.
瘢痕疙瘩性痤疮（AKN）是一种慢性特发性反应，给患者带来极大不适，需要进行根治性治疗才能根除。
分析采用组织扩张术治疗的1例AKN患者的治疗技术及结果，并在初始研究后对其进行了2年的跟踪。
1例AKN患者接受了慢性组织扩张、完全切除，并通过推进扩张头皮皮瓣对损伤区域进行重建。对形成的瘢痕进行局部放疗。
经过2年随访，未观察到AKN复发，且取得了良好的美容效果。
组织扩张术在AKN的手术治疗中具有一定作用。分期切除、植皮和非手术治疗也是可选方案，但必须根据具体病例进行个体化选择。
