Reconstruction of type Ⅳ axillary scar contracture with rectangular scar flap combined with autologous thinning split-thickness skin graft
10.3760/cma.j.cn114453-20201130-00600
- VernacularTitle:矩形瘢痕瓣联合移植自体刃厚皮片修复大面积烧伤后Ⅳ型腋窝瘢痕挛缩畸形
- Author:
Zhongheng LONG
1
;
Pei XU
;
Hongling ZHANG
;
Jing ZENG
;
Hu GAO
;
Cheng TANG
;
Xiangming ZHANG
Author Information
1. 武汉大学同仁医院暨武汉市第三医院皮肤创面修复中心，武汉 430070
- Keywords:
Cicatrix;
Burns;
Axillary fossa;
Scar flap;
thinning split-thickness skin graft
- From:
Chinese Journal of Plastic Surgery
2022;38(2):191-195
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of rectangular scar flap combined with autologous thinning split-thickness skin graft for repairing type Ⅳ axillary scar contracture deformity after extensive burns.Methods:From January 2015 to January 2019, patients with type Ⅳ axillary scar contracture deformity after extensive burns were admitted to the Department of Skin Wound Repair Center of Wuhan Third Hospital. Rectangular scar flaps were used to reconstruct the axillary area, Y-shaped incision was made on the short side to release the scar, the resulting defects after flap formation were repaired with autologous split-thickness skin grafts. The hyperplasia and contracture of the grafted skin, the size of rectangular scar flap, the appearance of axilla, the growth of residual axillary hair, and the range of motion of shoulder joint were observed during the follow-up of 18 months to 3 years.Results:A total of 6 cases were selected, including 2 males and 4 females, aged from 18 to 58 years, with the duration of scar contracture deformity ranging from 1 to 23 years. The rectangular scar flaps of all 6 patients survived. At the follow-up of 18 months to 3 years, the axillary scar hyperplasia and the skin graft contracture were mild. At 18 months after operation, the function of shoulder joint was restored with 180° shoulder abduction and lifting. Axillary appearance and residual axillary hair growth were satisfactory, the self-care ability and the quality of life of patients improved.Conclusions:Rectangular scar flap combined with autologous thinning split-thickness skin graft is a good method for repairing type Ⅳ axillary scar contracture in patients with lack of autologous skin sources for extensive burns.
