Fabricated expanded thoracodorsal artery perforator flap to repair cervical scar in children.
- Author:
Ai-Wu WANG
1
;
Wan-Feng ZHANG
;
Jin-You LI
;
Xiao-Feng ZHANG
;
Feng LIANG
;
Xue-Tao NIU
;
Lin LI
;
Li-Liang ZHAO
;
Qiu-Fang GAO
Author Information
- Publication Type:Journal Article
- MeSH: Child; Child, Preschool; Cicatrix; surgery; Contracture; surgery; Female; Humans; Male; Neck; Skin Transplantation; Surgical Flaps; blood supply; Tissue Expansion; Treatment Outcome
- From: Chinese Journal of Plastic Surgery 2010;26(3):161-165
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate ideal methods to repair cervical cicatricial contracture in children.
METHODSThe expanders were implanted subcutaneously around the cervical scar and above the latissimus. After expansion was completed, the cervical cicatricial contracture was released and the wound was covered with local expanded flaps and free expanded prefabricated thoracodorsal artery perforator flap, leaving no injury to thoracodorsal nerves and latissimus. The wound at the donor site was closed directly.
RESULTSFrom July 2007 to October 2009, 10 patients were treated. All the flaps survived completely. All the wounds were repaired totally and the deformities were corrected completely. The patients were followed up for 3-30 months. When the patients grew up, the flaps enlarged simultaneously. The flaps were not bulky and had a good color match. The scar at the donor site was inconspicuous with no functional morbidity.
CONCLUSIONThe fabricated expanded thoracodorsal artery perforator flaps is an ideal method for severe cervical cicatricial contracture in children.
