Free pre-expanded scapular skin flap for repairing of large size facial and cervical scar
10.3760/cma.j.issn.1009-4598.2017.s1.011
- VernacularTitle:预扩张肩胛皮瓣游离移植修复大面积面颈部瘢痕
- Author:
Yongjing HE
1
;
Likun ZHU
;
Weiqi YANG
;
Wei ZHANG
;
Jiafei WANG
;
Qun GUO
;
Xiaoming YANG
;
Yun YANG
;
Lechun LYU
;
Wenjun LIU
;
Jihua WANG
Author Information
1. 650101,昆明医科大学第二附属医院整形外科
- Keywords:
Soft tissue expansion;
Scapular skin flap;
Facial and cervical;
Scar
- From:
Chinese Journal of Plastic Surgery
2017;33(z1):50-53
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of free pre-expanded scapular skin flap for repairing of large size facial and cervical scar .Methods 15 patients suffering from post-burn facial and cervical scar contractures were treated in the Department of Plastic Surgery of Second Affiliated Hospital of Kunming Medical University.The reconstruction was performed in two operative stages .First, the skin incision were made paralleling with the descending branches of the circumflex scapular artery near posterior axillary line and the scapular skin flap was elevated .A 300 to 400 ml kidney -shaped expander was implanted under scapular region skin .The expansion began 1 week post-operatively.After the expander was fully expanded and could supply sufficient flap , the facial and cervical scar was resected and the contracture was released .The pre-expanded scapular flap was harvested and transferred to repair the defects.Then the facial vascular anastomosis with circumflex scapular vascular was performed .The expander was removed and the wound was closed directly .Results The expansion time ranged from 2 to 4 months with the average time of 2.8 months.The flap size ranged from 14 cm ×7 cm to 25 cm ×14 cm. All flaps survived post-operatively and wounds at donor sites healed primarily .The face and neck have good appearance .Conclusions Pre-expanded scapular skin flap is suitable for repairing of larger face and neck scar with good color and thickness match .Expanded skin flap can provide large size flap , leaving less morbidity at the donor sites .
