The application of skin and soft tissue dilatation in the repair of neck scar
10.3760/cma.j.issn.1009-4598.2019.05.006
- VernacularTitle: 皮肤软组织扩张术在颈部瘢痕修复中的应用
- Author:
Yongneng JIANG
1
;
Huijun WANG
;
Bingyu ZHAO
;
Bing LU
;
Yao LI
Author Information
1. Department of Burn and Plastic Surgery, Xinjiang Karamay Central Hosptital, Karamay 834000, China
- Publication Type:Journal Article
- Keywords:
Soft tissue expansion;
Surgical flap;
Expanded flap;
Burn of neck region;
Scar;
Repair
- From:
Chinese Journal of Plastic Surgery
2019;35(5):447-450
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical outcomes of skin and soft tissue expansion in the repairment of neck scar.
Methods:From March 2009 to May 2018, 15 patients with postburn scar contractures on neck, were admitted to the Department of Burn and Plastic Surgery, Karamay Central Hospital of Xinjiang. The patients include 12 males and 3 females, aged 12 to 48 years, with the mean age of 31 years. The scars were at 9 cm×6 cm-14 cm×11 cm in size. The tissue expander of 100-300 ml was placed subcutaneously, in the normal skin area on neck, on one or each side at the first stage operation. The first expander infusion was performed 10-14 days after surgery. The tissue expansion remains for 3-9 months, with an interval of 10 days of each infusion. After the tissue fully expanded, the expander was maintained for 1 month. At the second stage, the expander was removed, and the expanded flap was transferred to repair the wound.
Results:The expander exposure due to friction occurred in 2 patients. The final therapeutic effect was not affected, because of iodine gauze bandage. Blood supply of expanded flaps was good in other patients. The size of the expanded flaps was 12 cm×8 cm-16 cm×15 cm. All flaps survived after the second stage surgery. Patients were followed up for 0.5-5 years after surgery. The color and texture of flaps was similar to adjacent normal skin.
Conclusions:Skin and soft tissue expansion is a safe and effective method in repairing neck scar.
