Clinical efficacy of expanded neck and mastoid region flaps in the treatment of large facial scars

VernacularTitle:颈部和耳后联合扩张皮瓣修复面部大面积瘢痕的临床效果
Author: Juan CHEN ; Xiangbo YE ; Zhiyuan SHI ; Xiaohui YAN ; Ming LI ; Ping WANG
Publication Type:Journal Article
Keywords: Facial scars; Expansion; Skin flap
From: Chinese Journal of Medical Aesthetics and Cosmetology 2015;21(5):264-266
CountryChina
Language:Chinese
Abstract: Objective To report the effect of expanded neck and mastoid region flap in the reparation of facial scars.Methods Total 8 patients were included from January 2007 to May 2011.Tissue expanders were implanted in the neck and mastoid region after we selected suitable expander on the basis of an area of facial scars.Three to six months later,the expanded neck and mastoid region flap was used to repair large area of facial scars.Results From January 2007 to May 2011,we used expanded neck and mastoid region flap to resurface the facial scars in 8 patients.One patient appeared small size of necrosis (0.3 cm× 2.0 cm to 0.5 cm× 2.0 cm) in the distal area and healed after dressing changes.All the other patients healed completely.The period of follow-up was 6 months to 2 years.The flaps matched well to the surrounding skin in terms of color and good texture.Conclusions The method of combined expander neck and mastoid region skin flaps to repair facial scars is suitable.We believe this is a good option of repairing large area of facial scars.