采用皮下组织推进皮瓣和分层软组织/降眉间肌转位皮瓣对眉间凹陷和鼻根瘢痕挛缩进行两阶段矫正。
Two-stage correction of depressed glabella and nasal root scar contracture utilizing subcutaneous tissue advancement flaps and a layered soft tissue/procerus muscle transposition flap.
作者信息
Field L M
机构信息
Department of Dermatology, University of California, San Francisco.
出版信息
J Dermatol Surg Oncol. 1993 Oct;19(10):962-6. doi: 10.1111/j.1524-4725.1993.tb00986.x.
BACKGROUND
A postoperative nasal root and glabellar forehead deformity comprised both vertical and horizontal elements, with scar contracture and fixation across the left medial nose base, extending into the adjacent superior canthal region.
METHODS
A two-stage reconstruction was performed, initially correcting the vertical centrally placed forehead depression by dual subcutaneous flaps advanced centrally and joined. The horizontal nasal root contracture was repaired at a second stage utilizing a procerus muscle transposition flap elevated on the ipsilateral deep contracture side, imbricated in serpentine fashion on itself and sutured into the depression over the scar base.
RESULT
Significant improvement followed.
CONCLUSION
The careful and precise placement of subcutaneous tissue and muscle can serve to assist in filling certain deep defects and in elevating scar lines.
背景
术后鼻根和眉间额部畸形包括垂直和水平两个方面，伴有左侧鼻内侧基部的瘢痕挛缩和固定，并延伸至相邻的内眦上区。
方法
进行两阶段重建，首先通过向中央推进并连接的双侧皮下皮瓣矫正中央部位的垂直额部凹陷。第二阶段利用在同侧深部挛缩侧掀起的降眉间肌转位皮瓣修复鼻根水平挛缩，该皮瓣自身呈蛇形重叠，并缝合至瘢痕基底上方的凹陷处。
结果
术后有显著改善。
结论
仔细精确地放置皮下组织和肌肉有助于填充某些深部缺损并提升瘢痕线。
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