Postburn Neck Reconstruction With Preexpanded Upper Back Perforator Flaps: Free-Style Design and An Update of Treatment Strategies
| Autor: | Zi Wang, Yashan Gao, Tao Zan, Qingfeng Li, Haizhou Li, Hainan Zhu, Bin Gu, Feng Xie |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Reconstructive surgery medicine.medical_specialty Contracture medicine.medical_treatment Tissue Expansion 030230 surgery Neck reconstruction 03 medical and health sciences Cicatrix 0302 clinical medicine medicine Humans Scar contracture Retrospective Studies business.industry Plastic Surgery Procedures Surgery 030220 oncology & carcinogenesis Treatment strategy Female medicine.symptom business Incision dehiscence Perforator Flap Perforator flaps Tissue expansion Neck |
| Zdroj: | Annals of plastic surgery. 81(1) |
| ISSN: | 1536-3708 |
| Popis: | Background For extensive postburn neck deformities, the preexpanded flaps in the upper back region were used and gained a uniform skin appearance and esthetic contours. Free-style perforator-based free-tissue transfer that represents the most recent advance in reconstructive surgery may provide more versatility of these flaps. Methods We retrospectively reviewed 31 patients treated at our institution for postburn neck contracture from March 2010 to May 2016. Various upper back flaps were designed according to the dominant perforators and the shape of the defect after fully releasing the neck contracture. Results Thirty-one patients received neck reconstructions with the versatile applications of the preexpanded upper back perforator flaps. Tip necrosis was observed in one case, and the others survived completely. The donor sites were all primarily closed. No incision dehiscence was observed. Conclusion The free-style design has significantly increased the potential and versatility of the upper back flaps in reconstruction of severe neck scar contracture. |
| Databáze: | OpenAIRE |
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