胸部薄皮瓣扩张术修复面颊部瘢痕畸形

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目的:探讨上胸部形成的真皮下血管网薄皮瓣经扩张术后用以修复面颊部瘢痕畸形。方法:设计胸部皮瓣包括两部分,蒂段为轴型皮瓣包含颈横动脉前皮支与(或)胸廓内动脉穿支的分支,该段从胸肌筋膜浅面剥离,扩张术后主要用以携带薄皮瓣血运;远段从皮下脂肪剥离,远段为傍轴型血管的真皮下血管网薄皮瓣,扩张后用以完成畸形修复。结果:22例面颊部烧伤畸形经修复后外形与功能获改善与恢复。结论:依畸形情况选择上胸部纵向和横向薄皮瓣扩张术后修复面颊部瘢痕畸形,是较理想的方法。
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