Expanding Use of VM-plasty in Correction of Scar Contracture

VM-plasty在疤痕攣縮痕重建手術的擴大應用

林幸道(Sin-Daw Lin) ； 楊錦江(Chin-Chiang Yang) ； 賴春生(Chung-Sheng Lai) ； 周治剛(Chih-Kang Chou)

《中華民國重建整形外科醫學會雜誌》 1卷1期 (1992/02) Pp. 13-19

https://doi.org/10.7096/JPRSA.199202.0013

摘要

從1982年5月到1990年5月，共有36個疤痕攣縮病例施行55次VM-Plasty。其中包括眼角外眥摺16病例，手指蹼11病例，口角5病例，腳趾蹼3病例，及1例薦骨溝之疤痕攣縮。所有疤痕都是因燒灼傷及外傷造成。雖然手術時皮瓣皆做在疤痕組織上，所有病例並無皮瓣壞死之情形發生。
這些病變位在解剖結構的端點上，且俱有特異的傾斜面(slant)，利用VM-plasty可重建此傾斜面又能有效防止攣縮在這些端點的再發生。手指蹼攣縮的病例在術後建議穿著彈性手套，其他的病例則無任何固定或壓力治療。術後追蹤6個月至7年間，結果顯示VM-plasty對產生在端點上的疤痕攣縮是一種可靠並且合適的治療方法。

並列摘要

From May 1982 through May 1990, 36 patients with 55 separate VM-plasty procedures were evaluated retrospectively. They included 16 cases of lateral epicanthal folds, 11 cases of interdigital webs, 5 cases of oral commissure folds, 3 cases of syndactyly of the toe, and 1 case of a band over the sacral sulcus. All lesions were caused by thermal injury and trauma. Although the majority of flaps were designed in scar tissues, there was no partial or full-thickness necrosis of the skin in this series.
Characteristic anatomic slant of these areas were reconstructed. Elastic gloves with pressure inserts were introduced for interdigital web postoperatively. However, there was no splint or pressure therapy for the other lesions. There was no recurrence of scar in the follow-up period from 6 months to 7 years.
We have found that this VM-plasty is both reliable and suitable for correction of scar contracture of free marginal borders.

並列關鍵字

VM-plasly ； Scar contracture