Postburn Neck Contracture: Principles of Reconstruction and a Treatment Algorithm
Postburn Neck Contracture: Principles of Reconstruction and a Treatment Algorithm
复制标题
烧伤后颈部挛缩：重建原理和治疗算法
DOI：
10.1055/s-0038-1641724
复制
发表时间：
2018-05
影响因子：
2.1
通讯作者：
Zan Tao
中科院分区：
文献类型：
--
作者：
Gao Yashan;Li Haizhou;Gu Bin;Xie Feng;Zhu Hainan;Wang Zhichao;Li Qingfeng;Zan Tao
摘要 背景 针对烧伤后颈部重建已开发出多种技术，但需要一种治疗方案。方法 我们回顾性研究了20XX年2月（此处原文不完整）在我们机构接受治疗的所有烧伤后颈部挛缩患者。
BackgroundVarious techniques have been developed for postburn neck reconstruction, but a treatment algorithm is needed.MethodsWe retrospectively reviewed all patients treated for postburn neck contracture at our institution between February 2008 and December 2015. Necks were divided into one anterior subunit and two lateral subunits marked by the sternocleidomastoid muscle. Deformities were categorized into three types according to their size and location. Type I deformities involve less than one subunit, type II deformities involve at least one subunit but less than two subunits, and type III deformities affect two or more subunits. Type II deformities were further divided into type IIa deformities, which mainly involve the anterior region, and type IIb deformities, which mainly involve the lateral region.ResultsLocal random pattern flaps were constructed for type I deformities. Pedicled flaps from the anterior chest and supraclavicular areas were preferred for type IIa deformities, and pedicled flaps from the back were preferred for type IIb deformities. Pedicled flaps from other areas were the second choice for type II deformities, followed by free and prefabricated flaps. For type III deformities, bipedicled flaps were usually required. At a follow-up of at least 12 months, all patients showed near-normal neck function, and aesthetic features were significantly improved.ConclusionThe proposed classification and treatment algorithm for postburn neck reconstruction may help achieve satisfactory outcomes.
登录
查看更多内容
DOI：
10.1016/0007-1226(90)90167-x
发表时间：
1990-03
期刊：
British journal of plastic surgery
影响因子：
--
作者：
James Katsaros;David J. David-David-J.-David-2237498923;Philip A. Griffin;Mark H. Moore
通讯作者：
James Katsaros;David J. David-David-J.-David-2237498923;Philip A. Griffin;Mark H. Moore
影响因子：
2.3
作者：
B. Achauer
通讯作者：
B. Achauer
影响因子：
1.5
作者：
Haizhou Li;Zijing Du;F. Xie;T. Zan;Qingfeng Li
通讯作者：
Haizhou Li;Zijing Du;F. Xie;T. Zan;Qingfeng Li
DOI：
10.2106/00004623-198365030-00035
发表时间：
1983-03
期刊：
Journal of Bone and Joint Surgery, American Volume
影响因子：
--
作者：
A. Weiland
通讯作者：
A. Weiland
DOI：
10.1016/j.bjps.2009.09.021
发表时间：
2010-10
期刊：
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
影响因子：
--
作者：
S. Ono;R. Ogawa;H. Hayashi;Y. Takami;S. Kumita;H. Hyakusoku
通讯作者：
S. Ono;R. Ogawa;H. Hayashi;Y. Takami;S. Kumita;H. Hyakusoku