Repair of facial and cervical scars with expanded deltopectoral flaps.
- Author:
Xian-jie MA
1
;
Wei XIA
;
Yan ZHENG
;
Wen-sen XIA
;
Kai-hua LU
;
Shu-zhong GUO
;
Yan HAN
;
Bing-lun LU
Author Information
- Publication Type:Case Reports
- MeSH: Adolescent; Adult; Burns; complications; Child; Cicatrix; etiology; surgery; Face; pathology; Facial Injuries; Humans; Male; Neck; pathology; Reconstructive Surgical Procedures; methods; Skin Transplantation; methods; Surgical Flaps; Thorax; Young Adult
- From: Chinese Journal of Burns 2008;24(3):207-209
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the methods for repair of facial and cervical scars after burn.
METHODSOne hundred and two patients with facial and cervical scars as a result of burn injury were repaired by unilateral or bilateral deltopectoral flaps after expansion with pedicles. First, facial scars were excised and contractures were released to restore eye, mouth and nose to normal anatomical position. The facial scar flaps were overturned to join with the pedicles of deltopectoral flap for closing the wounds. The residual wounds were repaired by delayed flaps without pedicles 3 weeks later.
RESULTSAmong 102 patients, the flaps survived well in 94 cases, and blood supply insufficiency was found in distal end of unilateral flap in 7 cases (depigmentation after primary healing ). Necrosis of unilateral flap occurred in one patient, and it healed after skin grafting.
CONCLUSIONExpanded deltopectoral flap is efficacious procedure for repair of massive cervical and facial scars.
