Application of Various Methods to Evaluate the Postoperative Characteristics of Expanded Pedicled Deltopectoral Flap for Large Facial Scars
| Autor: | Xiaoxi Cheng, Xianjie Ma, Y K Tang, Zhou Yu, Zhantong Wang, Jianke Ding, Yingjun Su |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Deltopectoral flap business.industry Scar assessment Scars Skin Transplantation General Medicine Plastic Surgery Procedures Functional recovery Surgical Flaps Surgery Cicatrix Treatment Outcome Otorhinolaryngology Face medicine Humans Postoperative scars medicine.symptom Normal skin business Skin |
| Zdroj: | Journal of Craniofacial Surgery. 33:1130-1135 |
| ISSN: | 1536-3732 1049-2275 |
| DOI: | 10.1097/scs.0000000000008221 |
| Popis: | The expanded pedicled deltopectoral flap (EPDF) has been widely used to repair large facial scars. Although doctors and patients are usually satisfied with the outcomes, the actual functional recovery and cosmetic effects of EPDF are still unknown. It is, therefore, necessary to objectively investigate the effect of transferred EPDF by using a variety of methods. From January 2008 to December 2018, 52 patients who underwent EPDF surgery at Xijing Hospital were enrolled. Sense of touch, static 2-point discrimination, elasticity, and color were measured. Thermesthesia and algesthesia were also tested. Postoperative scars were evaluated using the patient and observer scar assessment scale. Satisfaction of patients, doctors, and laypersons was investigated. The algaesthesis, thalposis, and rhigosis scores were 4.7 ± 0.7, 3.7 ± 0.9, and 4.5 ± 0.8, respectively. The tactile score was 0.3 ± 0.2 mN, and 2-point discrimination was 10.1 ± 4.8 mm. L*, a*, hemoglobin, and melanin content of the flaps were significantly different when compared with normal skin (P |
| Databáze: | OpenAIRE |
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