- 期刊
The Supraclavicular Fasciocutaneous Artery Flap for Anterior Neck Scar Contracture
以鎖骨上動脈皮瓣重建前頸部疤痕臠縮
摘要
重建前頸部疤痕彎縮對重建整型外科醫師而言是一項挑戰，解決的方法除了保守的復健外，大多要依賴外科手術。外科治療的方法包括植皮，組織擴張器，局部或游離皮瓣來重建。在此我們介紹以鎖骨上動脈肌皮瓣重建前頸部疤痕彎縮之經驗，均相當成功。其中一例合併使用組織擴張器，皮瓣大小達26×17公分，皮瓣供應區均不需植皮而可以直接縫合。我們認為鎖骨上動脈肌皮瓣除了在色澤與柔軟度上相當適合頸部重建外，穩定的血流供應，不需運用顯微手術以及相當低的供應區罹病率均為其優點。
關鍵字
無資料並列摘要
Anterior neck scar contracture presents a unique set of problems compared with the rest of the body. Supraclavicular fasciocutaneous artery island flap based on supraclavicular artery and its distal anastomosis from posterior circumflex humeral artery, provides a stable pedicle and a large flap without sacrificing main vessels and muscles. Donor defect could be closed primarily without significant postoperative complications. There were 3 cases using this flap for reconstruction of neck scar contracture in the past 3 years. All flaps healed primarily, achieving a good functional result by complete removal of scar tissue and resurfacing. One case received tissue expansion before scar releasing and flap elevation. A 26x17cm flap was harvested. For cases that need a larger flap， comblnation with tissue expansion is a good choice. The supraclavicular fasciocutaneous island flap has the advantages of excellent skin color match and wide arc of rotation. The flap is also reliable and safe for immediate resurfacing after resection of cervical scar. It can be enlarged if necessary by tissue expansion.