Repair of cervicai cicatricial contracture with cervico-shoulder island skin flap
10.3760/cma.j.issn.1671-0290.2011.01.005
- VernacularTitle:颈肩跨区供血岛状皮瓣修复颈部瘢痕挛缩畸形
- Author:
Jiansheng DIAO
;
Xianjie MA
;
Shuzhong GUO
;
Xi ZHANG
;
Maoguo SHU
;
Yan HAN
;
Wensen XIA
;
Xianhui ZENG
- Publication Type:Journal Article
- Keywords:
Cervico-shoulder island flap;
Repair;
Cervicai cicatricial contracture;
Deformity
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2011;17(1):12-14
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore a better method to repair cervical cicatricle contracture deformity.Methods The cervicai cicatrical contraction deformity was repaird by the cervico-shoulder island skin flap with blood supply crossing and abundant anastomotic branches of the neck-shoulder blood vessels. After removing the cervical scar, the flaps were designed according to the size of the wound to be repaired, and the clinical anatomy of crossing and abundant anastomotic branches of the neck-shoulder blood vessels. The secondary wound of donor site was closed directly if the donor region was small, or closed by skin graft. Results Sixteen patients in this clinic were operated with this method, and venous return dysfunction occurred in 1 case, but blood circulation was improved after treatment. All the flaps survived with good appearance and texture. The extensive flap was created and transferred to the anterior neck by one stage without pre-expansion which met some patients'requirement of repairing cervical cicatricle contracture deformity. Conclusion The cervico-shoulder island skin flap, with abundant blood supply, is a new method to repair cervical cicatricle contracture deformity.
