预扩张胸三角皮瓣修复面颈部烧伤瘢痕挛缩畸形的临床效果  

Clinical efficacy of pre-expanded deltopectoral flap on repairing post-burn faciocervical scars

作　　者：韩军涛[1] 王洪涛[1] 李军[1] 谢松涛[1] 何亭[1] 徐志刚[1] 胡大海[1] 

机构地区：[1]第四军医大学西京医院烧伤与皮肤外科,西安710032

出　　处：《中华医学美学美容杂志》2017年第4期229-231,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨预扩张胸三角皮瓣修复面颈部瘢痕的临床效果。方法对43例颈部烧伤瘢痕挛缩畸形患者，一期在腋前线做切口，埋置相应大小扩张器，经4～6个月预扩张后，二期依据面颈部瘢痕切除术后缺损创面，选择胸廓内动脉肋间穿支、颈横动脉颈段皮支或者胸肩峰动脉皮穿支为血管蒂，进行带蒂或游离移植，供瓣区拉拢缝合。结果43例51个皮瓣全部成活良好，修复效果满意，供瓣区瘢痕不明显。结论预扩张的胸三角皮瓣可以作为面颈部瘢痕修复的理想供区。Objective To explore the method of pre-expanded deltopectoral flap for repairing post-burn faciocervical sears. Methods Anterior axillary incisions were made and appropriate expanders were implanted above anterior chest wall at the first stage. After a 4-6 months＇ expanding, the flaps based on perforating branches of the internal mammary artery, branches from the thoracoacromial area, or perforating branches from deltoid muscle, were designed and raised according to scars and dominant vessels. The donor sites were closed at same time without skin graft. Results 43 patients with 51 flaps were operated for reconstruction of post-burn faciocervical scars. All flaps and donor sites survived well. Conclusions Pre-expanded deltopectoral flap is an ideal donor site for repairing post-burn faciocervical scars.

关 键 词：预扩张皮瓣 胸三角皮瓣 瘢痕 

分 类 号：R622[医药卫生—整形外科]