Fan J
Plastic Surgery Hospital of Chinese Academy of Medical Sciences, Beijing, China.
Ann Plast Surg. 1997 May;38(5):523-6. doi: 10.1097/00000637-199705000-00014.
A free flap used for face and neck reconstruction usually results in tissue bulking and needs several debulking procedures to match the contour of the face and neck. In this paper we report an experience with a patient who underwent tissue expansion of a transplanted musculocutaneous free flap in the face for debulking of the flap and four further aesthetic reconstructions of the face and neck. The result shows that a transplanted free flap tolerates tissue expansion well. The versatile use of tissue expansion shows obvious advantages in that the transplanted flap is not only enlarged substantially by means of tissue expansion, but it is also debulked at the same time of achieve a desired thin flap for further reconstruction of the face and neck.
用于面部和颈部重建的游离皮瓣通常会导致组织臃肿，需要进行多次减容手术才能使面部和颈部轮廓相匹配。在本文中，我们报告了一位患者的治疗经历，该患者接受了面部移植肌皮游离皮瓣的组织扩张以减容皮瓣，并对其面部和颈部进行了另外四次美学重建。结果表明，移植的游离皮瓣对组织扩张耐受性良好。组织扩张的广泛应用显示出明显的优势，即移植皮瓣不仅通过组织扩张得到显著增大，而且在实现所需薄皮瓣以进一步重建面部和颈部的同时也实现了减容。
