Repair of facial and cervical scars with expanded deltopectoral flaps / 中华烧伤杂志

<p><b>OBJECTIVE</b>To explore the methods for repair of facial and cervical scars after burn.</p><p><b>METHODS</b>One hundred and two patients with facial and cervical scars as a result of burn injury were repaired by unilateral or bilateral deltopectoral flaps after expansion with pedicles. First, facial scars were excised and contractures were released to restore eye, mouth and nose to normal anatomical position. The facial scar flaps were overturned to join with the pedicles of deltopectoral flap for closing the wounds. The residual wounds were repaired by delayed flaps without pedicles 3 weeks later.</p><p><b>RESULTS</b>Among 102 patients, the flaps survived well in 94 cases, and blood supply insufficiency was found in distal end of unilateral flap in 7 cases (depigmentation after primary healing ). Necrosis of unilateral flap occurred in one patient, and it healed after skin grafting.</p><p><b>CONCLUSION</b>Expanded deltopectoral flap is efficacious procedure for repair of massive cervical and facial scars.</p>

Expanded skin flaps for the treatment of large scalp and face scar / 中华整形外科杂志

<p><b>OBJECTIVE</b>To explore the method to repair large scalp and face scars.</p><p><b>METHODS</b>1-3 expanders under the scalp were needed for repair the scalp scar. The expanded deltopectoral flaps were transferred to repair the face scar.</p><p><b>RESULTS</b>12 cases were treated with satisfactory results. All the flaps survived and the donor sites were closed primarily. 2 cases had expander exposure which didn't affect the treatment results. Atrophic cutaneous striae was occurred because of overexpansion.</p><p><b>CONCLUSIONS</b>Skin expansion is a good method for large scalp and face scar.</p>