Objective To summarize the clinical experience of frontotemporal expanded flap with bilateral superficial temporal vessels in repairing large area scar contracture in face and neck.Methods 14 patients with facial and ...Objective To summarize the clinical experience of frontotemporal expanded flap with bilateral superficial temporal vessels in repairing large area scar contracture in face and neck.Methods 14 patients with facial and Cervical scar contracture in our hospital were taken as the research object.With bilateral superficial temporal vessels as pedicles,a 400-600 ml skin dilator was inserted into the forehead and 50-100 ml skin dilator was inserted into the two temporal parts respectively.Within 3-4 months,the water injection volume reaches 2 times of the dilator volume.After maintaining for one month,skin flap transplantation was performed.The frontal flap was reserved for hairline reconstruction,and the flap was cut to cover the area after facial and Cervical scar release to reconstruct the jaw-neck angle.The pedicle division and pedicle trimming were performed 3-4 weeks after operation.Results All the 14 patients completed the operation successfully.The flap expansion time is 5-6 months.The expanded skin flap covers an area of 26 cm×9 cm-42 cm×16 cm,and all the skin flaps survived after operation.Among them,2 patients suffered from flap congestion after flap transplantation.Follow-up for 6-12 months showed that the color and texture of the skin flap were similar to those of facial skin,with natural transition and no obvious bloating.The angle between the lower jaw and the neck is about 90.The anterior flexion,posterior extension,lateral flexion and rotation of the neck are obviously improved compared with the anterior,and the posterior extension is close to normal.Conclusion Frontotemporal expanded flap with bilateral superficial temporal vessels is suitable for patients with large-area scar contracture in face and neck that cannot be repaired after expansion of adjacent local normal tissues.展开更多
Background:Worldwide,annually,11 million people seek medical assistance due to burn traumatic injuries.Most of the mare attributable to natural disasters,work accidents and domestic burns,in some cases,they may indica...Background:Worldwide,annually,11 million people seek medical assistance due to burn traumatic injuries.Most of the mare attributable to natural disasters,work accidents and domestic burns,in some cases,they may indicate the presence of child abuse.Management of facial burns presents a challenge to surgeons as burn traumas involving the face result in both physical and psychological injury.Objective:The aim of the present study is to investigate the effect of Theresienöl®in cases of facial burns.Method:Over a period of two years,the study contingent was 53 patients.Patients were selected from those attending the Department of Burns,Plastic,Reconstructive and Aesthetic Surgery at―St.George‖University Hospital,Medical University―Plovdiv‖.They were subdivided into groups according to age,gender,etiology and degree of burns as well as duration of treatment.Once per day our patients received treatment with Theresienöl®based on an open approach,with rubbing of the substance with massage movements,thus securing impregnation of the oil in the damages areas.Results:We monitored a very good penetration of the oil in the eschars and consequently-their more rapid separation and better esthetic results.Patients reported complete recovery with very good esthetic result to day 14.Based on our study protocol,it was used in the management of superficial facial wounds with a very good outcome.Conclusions:Theresienöl®is a patent product that is used in the treatment of difficult to heal wounds,burns,edemas and after surgery.展开更多
文摘Objective To summarize the clinical experience of frontotemporal expanded flap with bilateral superficial temporal vessels in repairing large area scar contracture in face and neck.Methods 14 patients with facial and Cervical scar contracture in our hospital were taken as the research object.With bilateral superficial temporal vessels as pedicles,a 400-600 ml skin dilator was inserted into the forehead and 50-100 ml skin dilator was inserted into the two temporal parts respectively.Within 3-4 months,the water injection volume reaches 2 times of the dilator volume.After maintaining for one month,skin flap transplantation was performed.The frontal flap was reserved for hairline reconstruction,and the flap was cut to cover the area after facial and Cervical scar release to reconstruct the jaw-neck angle.The pedicle division and pedicle trimming were performed 3-4 weeks after operation.Results All the 14 patients completed the operation successfully.The flap expansion time is 5-6 months.The expanded skin flap covers an area of 26 cm×9 cm-42 cm×16 cm,and all the skin flaps survived after operation.Among them,2 patients suffered from flap congestion after flap transplantation.Follow-up for 6-12 months showed that the color and texture of the skin flap were similar to those of facial skin,with natural transition and no obvious bloating.The angle between the lower jaw and the neck is about 90.The anterior flexion,posterior extension,lateral flexion and rotation of the neck are obviously improved compared with the anterior,and the posterior extension is close to normal.Conclusion Frontotemporal expanded flap with bilateral superficial temporal vessels is suitable for patients with large-area scar contracture in face and neck that cannot be repaired after expansion of adjacent local normal tissues.
文摘Background:Worldwide,annually,11 million people seek medical assistance due to burn traumatic injuries.Most of the mare attributable to natural disasters,work accidents and domestic burns,in some cases,they may indicate the presence of child abuse.Management of facial burns presents a challenge to surgeons as burn traumas involving the face result in both physical and psychological injury.Objective:The aim of the present study is to investigate the effect of Theresienöl®in cases of facial burns.Method:Over a period of two years,the study contingent was 53 patients.Patients were selected from those attending the Department of Burns,Plastic,Reconstructive and Aesthetic Surgery at―St.George‖University Hospital,Medical University―Plovdiv‖.They were subdivided into groups according to age,gender,etiology and degree of burns as well as duration of treatment.Once per day our patients received treatment with Theresienöl®based on an open approach,with rubbing of the substance with massage movements,thus securing impregnation of the oil in the damages areas.Results:We monitored a very good penetration of the oil in the eschars and consequently-their more rapid separation and better esthetic results.Patients reported complete recovery with very good esthetic result to day 14.Based on our study protocol,it was used in the management of superficial facial wounds with a very good outcome.Conclusions:Theresienöl®is a patent product that is used in the treatment of difficult to heal wounds,burns,edemas and after surgery.
