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目的:总结小儿颈部瘢痕挛缩手术治疗经验.方法:根据患儿的年龄分别选用全日皮片移植术和扩张皮瓣转移修复术治疗颈部瘢痕挛缩,对颌底部软组织瓣重建颏部与下颌骨下缘以及加深颌颈角的方法进行了改进,并提出颈部皮片分区移植。结果:所有扩张皮瓣与移植皮片均100％成活,术后外形良好,功能满意。结论:以美学理论为指导,结合适当的手术技巧有助于小儿颈部瘢痕挛缩整复术后功能与形态的恢复。
OBJECTIVE: To summarize the experience of surgical treatment of neck scar contracture in children.Methods: According to the age of the patients, full-thickness skin grafting and extended flap transfer were used respectively to treat the scar contracture of the neck and to reconstruct the chin and mandible Lower edge and deepen the neck and neck method has been improved, and proposed neck skin graft. Results: All the expanded flaps and skin grafts were 100% alive, with good appearance and satisfactory function. Conclusion: Aesthetic theory as a guide, combined with appropriate surgical techniques help pediatric neck scar contracture function and morphological recovery.