Zhu S, Liu Z M, Qiu C
Department of Plastic Surgery, Second Affiliated Hospital of Fujian Medical College, Quanzhou.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 1997 Mar;11(2):86-8.
In order to study the clinical efficacy of bilateral cervico-thoracic skin flap on repairing the contracture of the burn scar of the neck, 66 flaps were used in 33 patients from 1983 to 1995. The size of the flap ranged from 5 cm x 6 cm to 8.5 cm x 15 cm. The donor site was covered with split skin graft. The ratio between the length and the width of the flaps should not exceed 3:1. Fifty-nine flaps survived completely, but 7 had necrosis of small area which was healed without any influence on the function and appearance. The operative technique of the bilateral cervico-thoracic skin flaps were reported. The advantages of this type of skin flap and its applied anatomy and the postoperative care were discussed. In the repair of the cicatritial contracture deformity of the neck, it was important to define whether the skin defect was located in the submandibular, anterior cervical or anterior thoracic region, thus appropriate type of repair could then be given accordingly.
为研究双侧颈胸皮瓣修复颈部烧伤瘢痕挛缩的临床疗效，1983年至1995年对33例患者使用了66个皮瓣。皮瓣大小为5 cm×6 cm至8.5 cm×15 cm。供区用中厚皮片覆盖。皮瓣长宽比不应超过3∶1。59个皮瓣完全存活，7个出现小面积坏死，但愈合后对功能和外观无影响。报告了双侧颈胸皮瓣的手术技术。讨论了此类皮瓣的优点、应用解剖及术后护理。在修复颈部瘢痕挛缩畸形时，明确皮肤缺损位于下颌下、颈前部还是胸前区很重要，从而可相应地进行适当的修复。
