Application of bi-pedicled frontal expanded flap for cervical cicatricial contracture.
- Author:
Xiao-bo YU
1
;
Yan-yong ZHAO
;
Hong-xing ZHUANG
;
Hai-yue JIANG
;
Bo PAN
;
Lei LIU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Cicatrix; surgery; Contracture; surgery; Female; Forehead; surgery; Humans; Male; Neck; surgery; Surgical Flaps; Tissue Expansion Devices; Treatment Outcome; Young Adult
- From: Chinese Journal of Plastic Surgery 2011;27(1):19-22
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the therapeutic effect of bi-pedicled frontal expanded flap for cervical cicatricial contracture.
METHODSTissue expanders were implanted under frontal muscle. After expansion, the frontal flaps were designed based on bilateral superficial temporal vessels and were transferred to the neck wound. The cervical spine movement and the mento-cervical angle was measured and analyzed by SPSS16.0 and t test.
RESULTSFrom September 2006 to May 2010, 7 patients were treated by this method. The range of active cervical movement was improved in all direction. The mento-cervical angle decreased from (152.7 +/- 1.9) to (90.7 +/- 2.2) degrees after operation. The patients were followed up for 5 months to 3 years with satisfactory result and no contracture recurrence.
CONCLUSIONSThe bi-pedicled expanded frontal flap has a reliable blood supply and is very suitable for cervical cicatricial contracture with good functional and esthetic results, leaving less morbidity at donor site.
