双侧扩张颈肩皮瓣修复颈部瘢痕挛缩畸形  

Transposition of expanded cervical shoulder skin flaps for the repair of cicatricial contracture deformity of neck

作　　者：马继光[1] 孙广慈[1] 冯越蹇[1] 杨欣[1] 季建峰[2] 蒋学金 何桢平 赫伟[1] 张海明[1] 

机构地区：[1]中国医学科学院中国协和医科大学整形外科医院,北京100041 [2]南通市第一人民医院烧伤整形科 [3]淄博市人民医院骨科

出　　处：《中华外科杂志》2000年第4期285-286,共2页Chinese Journal of Surgery

摘　　要：目的　探讨采用双侧颈肩皮肤扩张术修复颈部瘢痕挛缩畸形的方法 ,以增加颈部瘢痕挛缩畸形的修复手段。　方法　对 12例颈部瘢痕挛缩畸形患者先行双侧颈肩皮瓣供区预扩张术 ,二期行扩张皮瓣转移修复颈部瘢痕切除后创面 ,两次手术均注意该区供应血管的完好无损。　结果　术后 12例患者的 2 4个皮瓣全部成活。术后随访 6个月～ 1年者 7例 ,所有患者颌颈部形态效果满意 ,功能明显改善 ,未见继发挛缩。Objective To evaluate the efficacy of expanded cervical shoulder skin flap in the treatment of cicatricial contracture deformity of neck, and improve the method for the repair of soft tissue defect of neck. Method 12 patients with cicatricial contracture of neck were treated by preexpanded cervical shoulder skin flap and then transposition for the reconstruction of the defect after cervical scar resection. ]Result All the 24 flaps were survived. Postoperative follow up for 6 months to one year showed that the cervico mandibular function and the external appearance of the flaps were satisfactory without swelling and contracture. Conclusion Preexpanded cervical shoulder skin flap is available for the treatment of cicatricial constructure deformity of neck.

关 键 词：外科皮瓣 颈部瘢痕挛缩畸形 皮肤扩张术 

分 类 号：R622[医药卫生—整形外科]