颏胸瘢痕粘连畸形的显微外科治疗

TREATMENT OF THE MENTAL STERNAL ADHESION BY MICROSURGERY

目的：探讨颏胸瘢痕粘连畸形应用显微外科治疗的临床效果。方法：１９８２年以来，应用前臂皮瓣、胸脐皮瓣、侧胸皮瓣、股前外侧皮瓣游离移植修复颏胸瘢痕粘连畸形１３例，皮瓣面积最大１６ｃｍ×３０ｃｍ、最小９ｃｍ×１５ｃｍ。结果：除１例胸脐皮瓣远端部分（２ｃｍ×３ｃｍ）坏死经全厚皮片移植愈合外其余１２例均全部成活，皮瓣质地优良，外形佳，颏颈角及颈部达到较理想的形态与功能恢复。结论：颏胸瘢痕粘连畸形应用显微外科治疗能取得较好的临床效果。

Objective:To present the treatment of the mental sternal adhesion Methods:Used forearm skin flap,thoracoumbilical skin flap,lateral thoractic skin flap and anterolateral femoral cutaneous flap by vessele anastomosis in 13 cases from 1982 The flaps were from 16 cm×30 cm to 9 cm×15 cm Results:The results are satisfactory and functional improvement in 13,only one of the thoracoumbilical free skin flap is partly necrosis.Conclusions:Treatment of the mental sternal adhesion by microsurgery conld get the same result