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[局部皮瓣治疗颈部瘢痕畸形]

[Treatment of cicatricial deformity of neck with local skin flap].

作者信息

Wang X, Lang X J, Wang Y

机构信息

Department of Oral and Maxillofacial Surgery, Affiliated Hospital, China Medical University, Shnyang, P. R. China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 1997 Jul;11(4):213-5.

PMID:9867982
Abstract

In order to correct the dysfunction of head and neck with scar contracture, since 1980, sixty-two cases were undertaken the operation by using local skin flap to repair the soft tissue defect after scar resection. The skin flaps included pedicled delto-thoracic skin flap in 26 cases, cervico-thoracic skin flaps in 25 cases, cervico-shoulder flaps in 6 cases, pedicled vascularized extralong delto-thoracic skin flap in 4 cases and free parascapular flap in 1 case. Sixty cases had total survival of the flaps and 2 flaps had partial necrosis. After 1 to 10 years follow-up, the appearance and function of neck were excellent. It was suggested that grafting local skin flap was a good method to treat cicatricial deformity of neck especially using the skin flap with pedicle and vascular bundle.

摘要

为纠正头颈部瘢痕挛缩畸形,自1980年以来,我们采用局部皮瓣修复瘢痕切除术后软组织缺损62例。皮瓣包括带蒂三角胸皮瓣26例、颈胸皮瓣25例、颈肩皮瓣6例、带蒂超长三角胸皮瓣4例、游离肩胛皮瓣1例。皮瓣全部成活60例,部分坏死2例。经1~10年随访,颈部外形和功能良好。提示局部皮瓣移植是治疗颈部瘢痕畸形的良好方法,特别是带蒂含血管束的皮瓣。

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