In two years (1996 -1998) there were 55 patients with contracts and adherence of the scars in the axilla due to burn that had been operated in the department of plastic surgery of the national institute of burn with results: Good: 78,18%. - Medium: 21,82%. We have used surgery methods: transfer skin flap on the spot with Z,Y,V model, full thickness skin grafts or skin flap with vascular pedicle to cover defect after removed scars. But these methods must depend on the disposition, the position and the degree contracts of the scar. With these results, we affirmed that the effects of surgery methods in treatment for contracts and adherence of the scar in the axilla with a view giving back the movement function and the aesthetic for the those patients.
Cicatrix ; Cervicoplasty

The plastic reconstruction of defect in the head, neck and face played an important role in the rehabilitation and plastic recovery for patients suffered cancer in the head, neck and face. Some techniques and materials are being applied in the plastic reconstruction comprised the autologous cutaneous transplantation, local cutaneous transplantation, pedicular flaps, expanded flaps and artificial materials.
Cervicoplasty ; Reconstructive Surgical Procedures

Cervicoplasty ; methods ; Face ; surgery ; Humans ; Reconstructive Surgical Procedures

Patients with thick skin mainly exhibit the aging processes of sagging, whereas patients with thin skin develop wrinkles or volume loss. Asian skin is usually thicker than that of Westerners; and thus, the sagging of skin due to aging, rather than wrinkling, is the chief problem to be addressed in Asians. Asian skin is also relatively large in area and thick, implying that the weight of tissue to be lifted is considerably heavier. These factors account for the difficulties in performing a facelift in Asians. Facelifts can be divided into forehead lift, midface lift, and lower face lift. These can be performed individually or with 2-3 procedures combined.
Aging ; Asian Continental Ancestry Group ; Cervicoplasty ; Forehead* ; Humans ; Neck* ; Rhytidoplasty* ; Skin

BACKGROUND: Major problems with cervicoplasty by direct skin excision include the subjective nature of skin markings preoperatively and the confusing array of procedures offered. This technique incorporates curved incisions, resulting in a wave-like scar, which is why the procedure is called a "wave-plasty". METHODS: This prospective study includes 37 patients who underwent wave-plasty procedures from 2004 to 2015. Skin pinching technique was used to mark the anterior neck preoperatively in a reproducible fashion. Intra-operatively, redundant skin was excised, along with excess fat when necessary, and closed to form a wave-shaped scar. Patients were asked to follow up at 1 week, 6 weeks, and 6 months after surgery. RESULTS: The mean operation time was 70.8 minutes. The majority (81.3%) was satisfied with their progress. On a scale of 1 to 10 (1 being the worst, and 10 being the best), the scars were objectively graded on average 5.5 when viewed from the front and 7.3 when seen from the side 6 months after surgery. Complications consisted of one partial wound dehiscence (2.3%), one incidence of hypertrophic scarring (2.3%), and two cases of under-resection requiring revision (5.4%). CONCLUSIONS: In select patients, surgical rejuvenation of the neck may be obtained through wave-like incisions to remove redundant cervical skin when other options are not available. The technique is reproducible, easily teachable and carries low morbidity and high patient satisfaction in carefully chosen patients.
Cervicoplasty ; Cicatrix ; Cicatrix, Hypertrophic ; Follow-Up Studies ; Humans ; Incidence ; Neck* ; Patient Satisfaction ; Prospective Studies ; Rejuvenation ; Skin ; Wounds and Injuries

OBJECTIVETo study the impact of screw orientation on the pullout strength of OsteoMed M3 titanium screws in expansive unilateral open-door laminoplasty of the cervical spine.

METHODSSix fresh human cervical spine specimens were randomly numbered and OsteoMed M3 plate and screws were used for an expansive unilateral open-door laminoplasty. The screws were inserted in the lateral mass at different extraversion angles (0°, 30° and 45°). The maximum pullout strength was tested on the ElectroForce material testing machine.

RESULTSThe maximum pullout strength was 81.60∓7.33 N, 150.05∓15.57 N, and 160.08∓17.77 N in extraversion angle 0°, 30°, and 45° groups, respectively. The maximum pullout strength was significantly less in extraversion angle 0° group than in 30° and 45° groups (P<0.05), but similar in the latter two groups.

CONCLUSIONThe pullout strength of the screws inserted at an extraversion angle over 30° provides stronger fixation than an angle of 0° in the unilateral open-door laminoplasty using OsteoMed M3 titanium plate and screws.

Adult ; Biomechanical Phenomena ; Bone Plates ; Bone Screws ; Cervical Vertebrae ; surgery ; Cervicoplasty ; instrumentation ; Device Removal ; Fracture Fixation, Internal ; instrumentation ; Humans ; Internal Fixators ; Male ; Materials Testing ; Young Adult

BACKGROUND: Some of head and neck cancer patients are in compromised general condition after ablation surgery and chemoradiation therapy, which makes secondary free tissue transfer quite challenging. Elderly cancer patients also have some risk for microvascular surgery with lengthened general anesthesia. In those cases, the pedicled flap vascularized by supraclavicular artery could be considered as an alternative to free flap. Despite several authors have demonstrated the clinical reliability of supraclavicular artery island flap (SCAIF), to date, SCAIF has not been widely used among reconstructive surgeon. In this article, we clarified vascular flow pattern and introduce simple surgical technique of SCAIF with a literature review. CASE PRESENTATION: Three patients who had underwent previous neck surgery and adjuvant therapy received maxillofacial reconstruction using SCAIF. It required only a few landmarks, flap harvesting was carried out, and the elapsed time gradually decreased to 15 min with experiences. There were no remarkable morbidities in both donor and recipient sites. CONCLUSION: SCAIF exhibited minimal anatomic variations and short learning curve of surgical techniques, which might be valuable reconstruction modality for beginning surgeon. And it can be beneficial option for the patients with vessel-depleted neck, medically compromised status for lengthened general anesthesia and failed free tissue transfer.
Aged ; Anesthesia, General ; Arteries ; Cervicoplasty ; Free Tissue Flaps ; Head and Neck Neoplasms ; Head ; Humans ; Learning Curve ; Mandibular Reconstruction ; Neck ; Osteoradionecrosis ; Surgical Flaps ; Tissue Donors