Clinical efficacy of free expanded deltopectoral perforator flaps for aesthetic repair of large facial scars
10.3760/cma.j.issn.1671-0290.2015.03.003
- VernacularTitle:扩张胸三角穿支皮瓣游离移植修复面部瘢痕的临床效果
- Author:
Wenlin YU
;
Bin ZHANG
;
Qin LI
;
Jie XIONG
;
Lixia PENG
;
Yanhong WU
;
Hua YANG
- Publication Type:Journal Article
- Keywords:
Tissue expansion;
Deltopectoral flap;
Free transfer;
Facial scar
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2015;21(3):136-138
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of expanded deltopectoral perforator flap as a free skin flap for distant transfer to aesthetically repair large facial scars via microsurgical technique.Methods 20 cases of large facial scars were treated with free expanded deltopectoral skin flaps via microsurgical technique.At the first stage,24 large volume expanders were inserted into the subcutaneous pockets in the deltopectoral zone.4 to 6 months later,the second stage operation was performed when the flaps were expanded fully and facial scars removed;deltopectoral perforator flaps harvested choosing the second or the third thoracic artery perforating branches as the pedicle;the surface of the wound was covered with the flaps.Results All of the 24 flaps survived completely and the wounds healed well after transplantation.The 6 months to 2 years' follow-up results showed that the color and texture of the flaps matched the recipient place well without swelling.The superficial and deep sensation recovered very fast.Conclusions It is safe,practical and effective that the delto-pectoral perforator flaps are used to repair large facial scars avoiding the shortcomings of traditional pedicle transfer such as more procedures,longer fixed time,or more wasted expanded skin.Free transfer of expanded delto-pectoral perforator flaps can achieve ideal function and aesthetic effects.
