Postburn Neck Reconstruction With Preexpanded Upper Back Perforator Flaps: Free-Style Design and An Update of Treatment Strategies.
Postburn Neck Reconstruction With Preexpanded Upper Back Perforator Flaps: Free-Style Design and An Update of Treatment Strategies.
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使用预扩张上背部穿支皮瓣进行烧伤后颈部重建：自由式设计和治疗策略的更新。
DOI：
10.1097/sap.0000000000001491
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发表时间：
2018
影响因子：
1.5
通讯作者：
Zan Tao
中科院分区：
文献类型：
--
作者：
Li Haizhou;Wang Zi;Gu Bin;Gao Yashan;Xie Feng;Zhu Hainan;Li Qingfeng;Zan Tao
背景：对于大面积的烧伤后颈部畸形，在上背部区域使用预扩张皮瓣，获得均匀的皮肤外观和美观轮廓。自由式以穿支为基础的自由组织移植代表了重建手术的最新进展，可以为这些皮瓣提供更多的多功能性。方法回顾性分析我院2010年3月至2016年5月收治的31例烧伤后颈部挛缩患者。在颈部挛缩完全解除后，根据优势穿支和缺损形态设计不同的上背皮瓣。结果31例患者采用预扩张后穿支皮瓣进行颈部重建。1例出现尖端坏死，其余全部存活。捐赠点基本上都关闭了。未见切口开裂。结论自由式设计显著提高了上背皮瓣在重度颈部瘢痕挛缩重建中的潜力和通用性。
BackgroundFor extensive postburn neck deformities, the preexpanded flaps in the upper back region were used and gained a uniform skin appearance and esthetic contours. Free-style perforator-based free-tissue transfer that represents the most recent advance in reconstructive surgery may provide more versatility of these flaps.MethodsWe retrospectively reviewed 31 patients treated at our institution for postburn neck contracture from March 2010 to May 2016. Various upper back flaps were designed according to the dominant perforators and the shape of the defect after fully releasing the neck contracture.ResultsThirty-one patients received neck reconstructions with the versatile applications of the preexpanded upper back perforator flaps. Tip necrosis was observed in one case, and the others survived completely. The donor sites were all primarily closed. No incision dehiscence was observed.ConclusionThe free-style design has significantly increased the potential and versatility of the upper back flaps in reconstruction of severe neck scar contracture.