Reconstruction of Large Cervicofacial Defects With Expanded Island Superficial Temporal Artery Flaps and an 810-nm Diode Laser Hair Removal Technique: A Retrospective Study
Reconstruction of Large Cervicofacial Defects With Expanded Island Superficial Temporal Artery Flaps and an 810-nm Diode Laser Hair Removal Technique: A Retrospective Study
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使用扩张岛状颞浅动脉皮瓣和 810 nm 二极管激光脱毛技术重建大面积颈面部缺损：一项回顾性研究
DOI：
10.1097/sap.0000000000002985
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Tao Zan
中科院分区：
文献类型：
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作者：
Haizhou Li;Xiangwen Xu;Yashan Gao;Shuchen Gu;Xin Huang;Jieyi Ren;Yihui Gu;Zhichao Wang;Bin Gu;Tao Zan
背景广泛的颈面部重建对整形外科医生来说是一个挑战。由于颞浅动脉（STA）滋养的邻近头皮皮瓣的位置，它可以是颈面部重建的候选者。ObjectivesThis article旨在报告扩张的岛状STA皮瓣和810 nm半导体激光脱毛技术对广泛的颈面部缺损的联合治疗。在这项回顾性研究中，10名下面部和颈部瘢痕挛缩的患者采用双侧或单侧扩张的STA岛状皮瓣和810 nm半导体激光脱毛进行重建。当注入的体积达到扩张器的体积时，开始通过810 nm激光脱毛，通量为35至40 J/cm 2，重复频率为1至2 Hz。在第二阶段手术之前，评估毛发减少率。手术后12个月，根据满意度量表和整体美学改善量表评估脱毛效果的程度。ResultsThis study includes 2个单蒂皮瓣和8个双蒂皮瓣。植入扩张器的平均尺寸为600 mL。平均进样体积为1405 mL。在第二次手术前，有67.4%的毛发减少率。术后12个月，整体美学改善评分结果分别为非常好（3）、良好（6）、一般（1）和差（0）。结论扩张的岛状STA皮瓣和810 nm半导体激光技术可能是一种新的治疗选择严重的面颈部美学重建。
BackgroundExtensive cervicofacial reconstruction is challenging for plastic surgeons. Because of the location of the adjacent scalp flap nourished by the superficial temporal artery (STA), it can be a candidate for cervicofacial reconstruction.ObjectivesThis article aims to report a combined treatment of an expanded island STA flap and an 810-nm diode laser hair removal technique for extensive cervicofacial defects.MethodsBetween January 2015 and December 2018, 10 patients with lower face and neck scar contraction were reconstructed with a bilateral or unilateral expanded STA island flap and an 810-nm diode laser for hair removal in this retrospective study. Hair removal via the 810-nm laser was started when the injected volume reached the volume of the expander, with a fluence of 35 to 40 J/cm 2 and a 1 to 2 Hz repetition rate. Before second-stage surgery, the hair reduction rate was assessed. Twelve months after surgery, the degree of epilation efficacy according to the satisfaction scale and Global Aesthetic Improvement Scale was evaluated.ResultsThis study included 2 single-pedicle flaps and 8 double-pedicle flaps. The average size of the implanted expanders was 600 mL. The average injected volume was 1405 mL. Before second surgery, there was a 67.4% hair reduction rate. Twelve months after surgery, the results of Global Aesthetic Improvement Scale were very good (3), good (6), average (1), and poor (0).ConclusionsThe expanded island STA flap and 810-nm diode laser technique may be a novel treatment option for severe face and neck aesthetic reconstruction.