Pallua N, Machens H G, Liebau J, Berger A
Klinik für Plastische, Hand- und Wiederherstellungschirurgic, Medizinischen Hochschule Hannover.
Chirurg. 1996 Aug;67(8):850-5. doi: 10.1007/pl00002529.
Mentosternal contractures still represent a surgical challenge due to their exposed location. They require early operative treatment for both functional as well as aesthetic reasons. Careful clinical examination of scar location and traction forces both in the resting and functional, moving state including proper evaluation of the surrounding soft tissue is mandatory for exact preoperative planning of the reconstructive surgical procedure required. In general, the technically most feasible operation is favoured, if functional and aesthetic results are good and the postoperative risk of recurrent mentosternal contractures is low. Between 1987 and 1994, 21 patients with cervical, mentosternal and mentothoracic contractures underwent operative procedures at our clinic. Eight patients underwent a surgical reconstruction with local flaps and 13 patients received a free microvascularized flap.
由于胸骨上挛缩位于体表，仍然是一项手术挑战。出于功能和美观的原因，它们需要早期手术治疗。为了对所需的重建手术进行精确的术前规划，必须对瘢痕位置以及静息和功能活动状态下的牵引力进行仔细的临床检查，包括对周围软组织进行适当评估。一般来说，如果功能和美观效果良好且胸骨上挛缩复发的术后风险较低，则倾向于选择技术上最可行的手术。1987年至1994年间，21例患有颈部、胸骨上和胸骨胸廓挛缩的患者在我们诊所接受了手术。8例患者采用局部皮瓣进行手术重建，13例患者接受了游离微血管皮瓣。
