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題 名 | Free Groin Flap for Reconstruction in Neck Contracture=以游離腹股溝皮瓣重建頸部疤痕攣縮 |
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作 者 | 林有德; 鄭明輝; 陳恆信; 陳煥棠; 魏福全; 陳宏基; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 31:2 民87.03-04 |
頁 次 | 頁123-128 |
分類號 | 416.413 |
關鍵詞 | 游離腹股溝皮瓣; 頸部疤痕攣縮; Neck scar contracture; Free groin flap; Microvascular surgery; |
語 文 | 英文(English) |
中文摘要 | 傳統治療頸部疤痕攣縮,大都在做完攣縮疤痕鬆弛手術之後植皮。病人於術後需 立即壓迫及長期戴頸圈,不但感到不舒適也不方便,而且復發率高。在我們的病人當中,我 們選擇其中三個嚴重頸部攣縮的病人,在完全鬆弛他們的攣縮疤痕之後,運用游離腹股溝皮 瓣重建頸部缺損,手術後不需立即壓迫及長期戴頸圈。這三個皮瓣均獲得完全的存活,術後 病人的頸部可以活動自如。經過一到的去脂肪手術,在外觀上也可以得到令人滿意結果。皮 瓣供給區,除了一個病人之外,均能夠縫合起來。而超過一年的追蹤也沒有復發的情況,游 離腹股溝皮瓣提供良好的術後結果,在顯微鏡之設備及人員充裕的情況下,這方法是值得考 慮另一種選擇。 |
英文摘要 | The conventional full-thickness skin graft for cervical contracture release requires immediate compression and long-term neck splint to prevent recurrence of neck scar contracture. However, this results in discomfort and is of inconvenience to the patients. Whereas, a free groin flap is harvested from the same donor site without the above drawbacks. A free groin flap was applied in three of our chronic burn patients. Cervical contracture was released and the scar was completely replaced by the flap. The donor site was closed primarily and no immediate post-operative compression and long-term neck splint was needed. All flaps survived completely while the contracted necks were released and free movement was observed after two days of surgery. The donor sites could be closed primarily except in one case, where a wide groin flap was required. Besides, no recurrence of neck contracture was observed after more than one year of follow-up. A free groin flap provides a good long-tern result, which is more comfortable and convenient for the patients, and is thus another option to reconstruct a contracted neck. |
本系統中英文摘要資訊取自各篇刊載內容。