Application of ultra-thin expanded flap for repairing scar of neck and face and joint of extremities
CHEN Jiyang
HE Haitian
MENG Hui
SUN Dongyuan
XIANG Ming
Abstract：Objective To explore the applicable value of ultra-thin expanded flap for repairing scar of neck, face or joint of extremities. Methods Clinical data of 42 patients who were treated by ultra-thin exceedingly expanded flaps (by 112 implanted expanders of skin soft tissue) to repair scar of neck and face, joint of extremities in Shekou People's Hospital from January 2012 to December 2014, were analyzed retrospectively. The expander exposure and flap survival were observed, total repair effects were evaluated, and the patient satisfaction degree was investigated. Results The thickness of ultra-thin expanded flap was 2.0 to 3.0 mm. Five expanders were exposed during water-injection period. Of 112 expanded flaps, there were 10 flaps with distal blood circulatory disorders after skin flap transferring, in which 3 flaps survived after treatment, other 7 flaps developed necrosis without serious effects on therapeutic results. The remaining flaps survived well. The follow-up time was 3-6 months (average, 5 months). Postoperative appearance and function results all showed significant improvement, with the overall patient satisfactory degree of 90% (38/42). Conclusion Ultra-thin expanded flap could obtain satisfactory effects for repairing scar of neck, face or joint of extremities.
Keywords：FaceNeckExtremitiesSoft tissue injuriesCicatrixSurgical flapsSkin transplantationTissue expansion
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：6( 20-25 )