Analysis of expanded deltopectoral skin flap for repairing cervical scar contracture deformity
PENG Hai-xian
CHEN Ming-zhi
LIAO Jin-ping
DONG De-sheng
SONG Bin
Abstract：Objective To investigate the effect of expanded deltopectoral skin flap for repairing cervical scar contracture deformity.Methods The retrospective study was carried out on 52 patients with cervical scar con-tracture deformity who were admitted into our hospital from Jul.2013 to Jul.2014.Among them 30 were males and 22 were females;the mean age was (22.24 ±9.38) years(12-45) years.The expanders were inserted into the sub-cutaneous pockets in the deltopectoral zone and were inflated by expansion model.Two months later,the cervical scar was resected and covered with deltopectoral skin flap.The wound was repaired by the expansion flap and the skin flap pedicle was divided after one month.Results Expander rupture occurred in 1 case;wound infection oc-curred in 2 cases and local hematoma occurred in 1 case.All the problems were handled succesefully without affect-ing later operations.One case developed venous flow obstruction in the reverse flap.Distal flap partial epidermal necrosis with mild hypertrophic scar formation developed in 3 cases 14 d after operations.All the above problems were handled succesefully.All flaps survived.Post-operative follow-up of one year revealed that the cervico-man-dibular function and the external appearance of all the flaps were satisfactory without swelling and contracture.Con-clusion The expanded deltopectoral flap is capable of effectively repairing the cervical scar contracture deformity and recovering normal functions.It is worthy of clinical popularization and application.
Keywords：bnrn injurycervical scarcontracture deformityflaprepair
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 295-297 )