Expanded thoracic triangle ultra-thin flap for repairing facial and neck defects
10.3760/cma.j.issn.1009-4598.2018.02.010
- VernacularTitle: 扩张后胸三角超薄皮瓣修复面颈部瘢痕切除后创面
- Author:
Ziying GU
1
;
Guohong BAO
;
Qiang WEI
Author Information
1. Plastic Surgery Department, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
- Publication Type:Clinical Trail
- Keywords:
Ultrathin flaps;
Soft tissue expansion;
Cicatrix
- From:
Chinese Journal of Plastic Surgery
2018;34(2):123-127
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the method of repairing facial and neck defects.
Methods:From Sept. 2012 to June 2015, 18 cases of facial and neck scars were first implanted with 400-800 ml rectangular expanderin the thoracic triangle region; after 2-5 months expansion, liquidvolumereached 400-1 000 ml.After resection of facial and neck scar, defects were covered by the expanded deltopectoral thin flap; 7-10 days afterwards, flap pedicles were severed to cover the residual wound.
Results:A total of 19 expanders were implanted. All flaps survived after flap transfer and pedicle severance. The flap color and texture were close to the normal site.The skin was well recovered. After 2 years to 3 years follow up, all the affected areas achieved good outcome.
Conclusions:Ultra thin expanded deltopectoral flap is a good method for facial and neck defects reconstruction.
