皮肤软组织并联扩张术修复面中部瘢痕

Repair of the scar in the midface by skin expansion with parallel juxtaposed skin expanders

目的寻求修复面中部瘢痕的新方法。方法15例面中部瘢痕患者于Ⅰ期手术时,在其颌面、颈、耳后部皮肤软组织下并联埋置2个扩张器,待扩张至有足够的“额外”皮肤软组织后,施行Ⅱ期手术,旋转并推进扩张皮瓣以修复面中部瘢痕。结果本组患者术后切口相对隐蔽,修复部位皮肤颜色、质地等符合要求,面部外观得到明显改善。结论颌面、颈、耳后部皮肤软组织并联扩张术是一种修复面中部瘢痕的较好方法,有一定的临床应用价值。

Objective To explore a new method for the repair of the scar in the midfaee. Methods Parallel juxtaposed expansion of the skin and soft-tissue of jaw, face, neck and posterior aspect of auricle was performed to repair the scar in the midfaee of 15 patients. The operation consisted of two steps. In the first step, two expanders were placed subcutaneously under the subskin of jaw, face, neck and posterior aspect of the auricle, respectively, and they were expanded timely to create adequate superfluous skin and soft tissue. In the second step, the expanded skin flap was rotated and advanced to repair the the scar in the midfaee. Results Parallel juxtaposed expansion was perfomed to repair the scar in the midfaee of 15 patients. The incision was comparatively concealed, the colour and elasticity of the skin transplant, and the facial contours were satisfactory. Conclusion Parallel juxtaposed expansion of the skin soft-tissue of jaw, face, neck and posterior auricular is beneficial for the repair of the scar in the midface.