超量扩张颈部皮肤修复半侧颜面中下部瘢痕  

Excessive expansion of cervical skin to repair lower hemifasciai scar

作　　者：王怀谷[1] 赵永娟[2] 顾斌[3] 

机构地区：[1]安徽蚌埠医学院第一附属医院整形外科,蚌埠233004 [2]安徽蚌埠医学院第一附属医院 [3]上海交通大学医学院附属第九人民医院整复外科

出　　处：《中华医学美学美容杂志》2010年第6期364-366,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨用超量扩张的颈部皮肤一次性修复半侧颜面中下部瘢痕的效果。方法对50例半侧颜面中下部瘢痕患者的颈部埋置单个100ml或150ml容量扩张器进行超量扩张，超量为其额定容量的4～5倍，用以修复面部瘢痕，观察皮瓣存活情况及远期随访效果。结果50例扩张后皮瓣均成功修复面部瘢痕。随访3～12个月，皮瓣颜色、质地均与周围匹配，无明显皮瓣回缩，扩张皮瓣修复区表情活动正常。结论在颈部埋置扩张器，行4～5倍超量的扩张，可获得大面积的皮瓣，足以修复颜面部大面积瘢痕切除后的创面。Objective To explore the reconstruction effects of lower hemifascial scar by cervical skin excessive volume expansion. Methods Single 100 ml or 150 ml standard volume tissue expander was implanted under the cervical skin in 50 patients with lower hemifascial scar. After the tissue expanders were injected with 4-5 times than the designed volume, the scar was resurfaced with the expanded flap. Results The excessively expanded cervical flaps of 50 patients all were successfully used to reconstruct the facial scar. The expanded flap was matched well with surrounding skin after 3- 12 months following-up. No obvious contracture was observed. The district recontrueted by expended flaps have the normal expression aetivities. Conclusion Excessive expansion of cervical skin can promote the efficiency in the reconstruction of the lower hemifascial scar.

关 键 词：皮肤扩张器 面部瘢痕 

分 类 号：R622[医药卫生—整形外科]