Investigation on the various methods of pre-expanded skin flap in the reconstruction of perioral scar
10.3760/cma.j.cn114453-20211108-00434
- VernacularTitle:扩张后皮瓣治疗口周瘢痕的几种方法探讨
- Author:
Hong CHANG
1
;
Yinke TANG
;
Feifei CHU
;
Chaohua LIU
;
Hengxin LIU
;
Jiangbo CUI
;
Jianke DING
;
Xianjie MA
Author Information
1. 空军军医大学第一附属医院整形外科 全军整形外科研究所，西安 710032
- Keywords:
Cicatrix;
Perioral scar;
Surgical flaps;
Tissue expansion;
Deltopectoral flap;
Submental flap;
Frontal branch flap of superficial temporal artery
- From:
Chinese Journal of Plastic Surgery
2022;38(10):1119-1127
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effect of pre-expanded flap on the treatment of perioral scar.Methods:The clinical data on the treatment of perioral scar with pre-expanded flap in the Department of Plastic and Reconstructive Surgery of the First Affiliated Hospital of Air Force Medical University from March 2009 to July 2019 were analyzed retrospectively. The pre-expanded flap composed of the pre-expanded local flap, the pre-expanded deltopectoral flap, the pre-expanded submental flap, and the pre-expanded frontal branch flap of the superficial temporal artery. Generally, the surgical procedure was divided into three stages, which included stage one: skin soft tissue expander implantation; stage two: pre-expanded flap design and transfer; stage three: delay of pre-expanded skin flap, and the amputation of the pedicle. The pre-expanded local flap did not require cutting off the pedicle. Selective laser hair removal was applied to pre-expanded frontal branch flap of superficial temporal artery to repair the scar. The blood circulation and the survival of the metastatic flap were observed after the operation. The appearance and function of the donor and recipient areas were followed up.Results:A total of 47 patients aged between 7 to 50 years old comprising 21 males and 26 females with perioral scars were enrolled, with an average age of 20 years old. Eight cases were treated with pre-expanded local flap. Twenty five cases were treated with pre-expanded deltopectoral flap, 3 cases were treated with pre-expanded deltopectoral flap combined with a pre-expanded local skin flap, 5 cases were treated with pre-expanded submental flap, 6 cases were treated with pre-expanded frontal branch flap of the superficial temporal artery. Postoperative follow-up time ranged from 3 to 108 months (mean 57 months). In all the patients, the perioral scars were repaired, with significant alleviation in mouth opening limitation. The color and texture of the transferred flap were similar to the surrounding skin, and the appearance was satisfactory.Conclusions:The pre-expanded flap is a good approach for the treatment of perioral scar.
