Karacaoglan N, Uysal A
Division of Plastic and Reconstructive Surgery, Ondokuzmayis University, Samsun, Turkiye.
Burns. 1994 Dec;20(6):547-50. doi: 10.1016/0305-4179(94)90019-1.
Flexion contracture of the neck after burns can produce severe functional deformity. Excision and split or full thickness skin grafts, local or distant flaps, and free flaps have been used for reconstruction. Recently, tissue expansion has been introduced as an additional reconstructive procedure. We have used tissue expansion for reconstruction of postburn neck contractures. Twelve patients with ages that ranged from 9 to 34 years were treated with expanded fasciocutaneous supraclavicular and shoulder flaps. No flap necrosis has been seen. In two patients, reconstracture occurred between the expanded flap and uninvolved skin. To date we have not seen any problems with nerve neuropraxia and impression on blood vessels.
烧伤后颈部屈曲挛缩可导致严重的功能畸形。已采用切除并进行中厚或全厚皮片移植、局部或远处皮瓣以及游离皮瓣进行重建。最近，组织扩张作为一种额外的重建方法被引入。我们已使用组织扩张来重建烧伤后颈部挛缩。12例年龄在9至34岁之间的患者接受了扩张的锁骨上和肩部筋膜皮瓣治疗。未出现皮瓣坏死情况。2例患者在扩张皮瓣与未受累皮肤之间发生了再次挛缩。迄今为止，我们尚未发现任何神经失用和血管受压问题。
