Clinical application of prefabricated super-thin perforator flaps after expansion in the reconstruction of facial and cervical scar / 中华整形外科杂志

<p><b>OBJECTIVE</b>To explore a combined application of tissue expansion, perforator flaps and super-thin flaps in reconstruction of extensive face and neck scars.</p><p><b>METHODS</b>In the first stage, the position and course of the perforators were confirmed with the multi-detector computed tomography ( MDCT) and color Doppler ultrasound. The expanders were implanted between subdermal vascular plexus and superficial fascia. In the second stage, the expanded super-thin perforator flaps were transferred to resurface the extensive defects and deformities in the face and neck.</p><p><b>RESULTS</b>26 cases with extensive facial and cervical scars were included in this study. Except for one case with necrosis at the distal end, the other 25 flaps survived completely. The maximum flap size was 35 cm x 10 cm with a pedicle of 8 cm x 4 cm. Long-term follow-up showed that this combined application provided thinner flap than the conventional pre-expanded flap, thus avoiding secondary flap debulking and revisions. All the patients got improvement in contours, facial features and emotional expression.</p><p><b>CONCLUSIONS</b>The combined application of tissue expansion, perforator flaps and super-thin flaps is a practical method which has advantages in feature recontouring and recovery of delicate emotions in reconstruction of extensive face and neck scars.</p>

Manufacture and clinical application of limb functional exercise band after radical operation of mastocarcinoma / 中国实用护理杂志

Objective To search for safe and effective functional exercise after radical operation of mastocarcinoma and fully arouse patients' enthusiasm for functional exercise,alleviate the shoulder joint function and improve the quality of patients life. Methods 216 patients after radical operation of mastocarcinoma were randomized into the observation group (108 cases) and the control group (108 cases). The patients in the control group only self trained.The observation group used limb functional exercise band according to the principle of self training by stage. The initiative of exercise, postoperative complication and functional recovery of injured limbs were observed in the two groups and underwentχ2 test. Results Significant difference was found between the two groups in training activeness, shoulder joint function,daily life activity 2 months after operation, swelling and numbness of affected limb,constrained lift and abduction of affected limb. Conclusions Using limb functional exercise band can fully arouse enthusiasm of functional exercise of patients, prevent contracture of scar, recover upper limb function to the utmost degree,shorten rehabilitation time. Whatsmore, it has a simple structure and is convenient to use,easy to be made and washed.It provides a new approach to limb functional exercise after radical operation of mastocarcinoma and is worthy of wide clinic application.