Expanded deltopectoral flaps for treatment of cervical cicatricial contracture.
- Author:
Xian-jie MA
1
;
Pai PENG
;
Yan ZHENG
;
Shu-zhong GUO
;
Yan HAN
;
Kai-hua LU
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Child; Child, Preschool; Cicatrix; surgery; Dilatation; methods; Female; Humans; Male; Neck; Reconstructive Surgical Procedures; methods; Skin Transplantation; Surgical Flaps; Thorax; Young Adult
- From: Chinese Journal of Plastic Surgery 2010;26(1):21-23
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the application of expanded deltopectoral flaps for treatment of cervical cicatricial contracture.
METHODSThe cervical cicatricial contracture was corrected in 18 cases with unilateral expanded deltopectoral flaps and 2 cases with bilateral expanded deltopectoral flaps. The size of scar ranged from 8 cm x 5 cm to 12 cm x 13 cm. The size of the unilateral expanded deltopectoral flaps ranged from 9 cm x 16 cm to 12 cm x 18 cm. The defects in donor sites were closed directly. The infraclavicula incision was designed. The flaps were delayed 3 weeks after flap transfer. The pedicle was cut off 4 weeks later.
RESULTSFrom 2007 to 2009, 20 cases with cervical cicatricial contracture were treated with expanded deltopectoral flaps. All the flaps were survived. 6 cases were followed up for 6 months with satisfactory results in 5 cases and conspicuous scar in 1 case.
CONCLUSIONSExpanded deltopectoral flap is very suitable for large size of cervical cicatricial contracture.