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为了探讨跨区颈胸皮瓣修复颈部瘢痕挛缩畸形的临床效果,1983年~1995年,应用双侧颈胸跨区供血皮瓣66个,修复颈部瘢痕挛缩畸形33例,皮瓣面积最小5cm×6cm,最大8.5cm×15cm。皮瓣转移后的供区用中厚皮片覆盖。术后59个皮瓣完全成活,7个皮瓣小区域坏死,愈合后不影响功能及外形。详细介绍了双侧颈胸跨区供血皮瓣的手术方法。对该皮瓣的优点、应用解剖及术后注意事项进行了讨论。认为,在颈部瘢痕挛缩畸形修复中,应将皮肤缺损分为颏下区、颈前区、胸前区三个分区,并根据分区的特点进行修复。
In order to explore the clinical effect of trans-cervical neck thoracic flap in the repair of cervical contracture deformity, from 1983 to 1995, 66 flaps of bilateral cervical and cervical transfusions were applied to repair 33 cases of neck contracture and contracture, the smallest flap area 5 cm × 6 cm, maximum 8.5 cm × 15 cm. The donor area after flap transfer is covered with mid-thick skin. Fifty-nine flaps survived completely, and seven flaps were necrotic in area. After healing, they did not affect function and appearance. A detailed description of bilateral cervical and thoracic blood supply flap surgery method. The advantages of the flap, the application of anatomy and postoperative considerations were discussed. That in the neck scar contracture deformity repair, the skin defects should be divided into the submental area, anterior cervical area, chest area three partitions, and according to the characteristics of the partition to be repaired.