Esthetic and functional reconstruction for burn deformities of the lower lip and chin with free radial forearm flap
Esthetic and functional reconstruction for burn deformities of the lower lip and chin with free radial forearm flap
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DOI：
10.1097/01.sap.0000200283.03650.e3
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发表时间：
2006-04-01
影响因子：
1.5
通讯作者：
Oh, SJ
中科院分区：
文献类型：
--
作者：
Lee, JW;Jang, YC;Oh, SJ
面颈部烧伤后常造成面部外形和遮盖畸形。下面部和颈部的增生性烧伤瘢痕挛缩是最难解决的问题之一，因为它会产生功能和外观问题。1998年1月~ 2002年1月，我院共收治7例面颈部瘢痕挛缩畸形患者，均为面部瘢痕挛缩畸形。采用前臂桡侧游离皮瓣及皮片移植修复畸形。使面部形态恢复到正常的形状、位置，面部皮肤覆盖质量均匀。7例患者均未出现明显并发症，为取得更好的疗效，应注意以下几点。皮瓣的最低边缘应限制在舌骨上方至少1指宽，因为皮瓣的低设置可能会恶化颈颏角。皮肤移植在颈部进行。唇颏沟的修复需要皮瓣与创面的紧密结合，采用前臂桡侧游离皮瓣和植皮修复面颈部烧伤畸形。皮瓣看起来不完全正常，但与邻近皮肤相容。我们可以有足够的功能性表面置换和最佳的美学效果，同时尽量减少复发性挛缩。
Burn injury often has produced deformity both of contours and cover in face and neck. Hypertrophic burn scar contracture of the lower face and neck is one of the most difficult subjects to solve because it produces problems with function and appearance. In planning the correction, the restoration of normal form and function is the best way in reconstruction.From January 1998 to January 2002, we had 7 patients who had scar contractures of the lower face and neck. We reconstructed their deformities with free radial forearm flap and skin graft. We could get restoration of the facial form to normal shape, position, and quality of the facial skin cover homogeneity. No remarkable complications have been found in all 7 patients.For better outcomes, there are some considerations. The lowest margin of the flap should be limited to at least 1 finger breadth above the hyoid bone because low setting of the flap may deteriorate the cervicomental angle. The skin graft is undertaken in the cervical region. Adhesion between the flap dermis and wound bed may be necessary for reconstruction of the labiomental sulcus.Burn deformities of the lower face and neck area were resurfaced with free radial forearm flap and skin graft. Flaps did not look completely normal, but those were compatible with the adjacent skin. We could have an adequate functional resurfacing and optimal esthetic outcomes while minimizing recurrent contractures.