Full-thickness skin grafting and expanded deltopectoral flap transfer to repair large area skin defects in face
REN Jing
HAN Yan
WANG Bai-shi
HAN Yu-di
ZENG Wei
Abstract：Objective To compare the therapeutic effect between expanded deltopectoral flap and full-thickness skin graft in the repair of large area defects of the skin and soft tissue.Methods From December 2010 to December 2015,a total of 41 patients with facial skin defects caused by trauma,scar,or tumor underwent treatment in our department.Depending on the area of facial skin defect,20 cases underwent full-thickness skin grafting and 21 cases underwent deltopectoral flap expansion combined with thoracic flap transfer and repair.The general condition and complications in the transplantation site between the two groups were compared postoperatively.Results In the full-thickness skin graft group,a small area of skin necrosis appeared in 1 case,1 case developed lower eyelid ectropion due to postoperative skin contracture,and 2 cases had slight pigmentation.In the patients treated with expanded deltopectoral flap,a small area of necrosis appeared in the distal flap in 2 cases.This was relieved after hyperbaric oxygenation.All patients were followed up from 1 to 3 years.Skin texture and elasticity were good and the color was natural.Conclusion These two kinds of surgical methods have obvious advantages and disadvantages.It is advisable to choose the appropriate surgical method based on the defect location and area,so as to achieve cosmetic repair.
Keywords：Deltopectoral flapFree skin graftingFacial defect
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 596-598 )