MENTOCERVICAL RECONSTRUCTION AND EFFECTIVENESS EVALUATION IN TREATMENT OF MENTOCERVICAL CICATRICIAL CONTRACTURE DEFORMITY_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

DUAN Weiqiang , CEN Ying , LI Zhengyong.

Department of Burns and Plastic Surgery, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China. Corresponding author: CEN Ying, E-mail: cenying0141@163.com;

Corresponding author：

Keywords：

颏颈瘢痕粘连; 颈阔肌瘢痕组织瓣; 颏颈角; 颈颏角

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Objective To investigate the procedures and effectiveness of platysma scar flap for reconstructing mentocervical appearance in patients with mentocervical cicatricial contracture deformity. Methods Between April 2004 and August 2011, 26 patients with mentocervical cicatricial contracture deformities were admitted. There were 15 males and 11 females, aged 12-31 years (mean, 18 years). The causes included scald injury in 19 cases and flame injury in 7 cases, including 23 cases of deep second degree burn and 3 cases of third degree burn. The time between injury and scar formation was 6-27 months (mean, 10 months). The mentocervical angle was (117.10 ± 14.46)°, and the cervicomental angle was (143.38 ± 15.68)°. The platysma scar flap transfer (8 cm × 7 cm to 10 cm × 8 cm in size) and skin grafting were performed to reconstruct mentocervical appearance. Results The flap and skin graft all survived and the incisions healed by first intention. All the patients were followed up 6 months-3 years (mean, 16 months). The mentocervical and cervicomental angles were significantly reduced to (89.31 ± 6.30)° and (117.83 ± 10.65)° respectively at 2 weeks after operation (P lt; 0.05), showing no significant difference when compared with normal mentocervical angle (90°) and cervicomental angle (120°) (P gt; 0.05). The satisfactory results of the mentocervical appearance and cervical extension function were obtained in 21 patients whose mentocervical and cervicomental angles were restored to normal. Conclusion Platysma scar flap transfer is an effective method to reconstruct mentocervical appearance and reduce mentocervical and cervicomental angles in patients with mentocervical cicatricial contracture deformity.

Citation： DUAN Weiqiang,CEN Ying,LI Zhengyong.. MENTOCERVICAL RECONSTRUCTION AND EFFECTIVENESS EVALUATION IN TREATMENT OF MENTOCERVICAL CICATRICIAL CONTRACTURE DEFORMITY. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(12): 1489-1491. doi: Copy

1.	李养群, 唐勇, 周传德, 等. 颈部瘢痕挛缩手术治疗中的颏部重建. 中华烧伤杂志, 2004, 20(6): 359-361.
2.	纪赓, 王守宝, 罗旭松, 等. 颈阔肌瓣双向翻转在颈部严重瘢痕增生挛缩整复中的应用. 组织工程与重建外科杂志, 2012, 8(1): 35-39.
3.	陈昭宏. 颏下动脉供血的颌底皮瓣的解剖学研究. 福建医药杂志, 2002, 24(2): 74-75.
4.	沈永岱. 颏下岛状皮瓣修复颊部软组织缺损26例临床分析. 中国实用口腔科杂志, 2011, 4(8): 491-493.
5.	周飞军, 许建辉, 张昊. 颏下岛状瓣转移修复口腔颌面部软组织缺损的临床应用. 现代医药卫生, 2012, 28(1): 1-5.
6.	李明月, 张伟, 刘宁, 等. 蒂部携带颈阔肌的颏下皮瓣的临床应用. 临床耳鼻咽喉头颈外科杂志, 2011, 25(2): 84-85.
7.	丁茂超, 毛以华, 陈世新, 等. 颏下动脉穿支皮瓣的数字解剖学研究. 中国临床解剖学杂志, 2010, 28(6): 603-610.
8.	Powell N, Humphreys B. Proportions of the aesthetic face. New York: Thieme-Stratton Inc, 1984: 51-55.
9.	Ellengogen R, Karlin JV. Visual criteria for success in restoring the youthful neck. Plast Reconstr Surg, 1980, 66(6): 826-837.
10.	Iglesias-Linares A, Yáñez-Vico RM, Moreno-Manteca B, et al. Common standards in facial esthetics craniofacial analysis of most attractive black and white subjects according to people magazine during previous 10 years. J Oral Maxillofac Surg, 2011, 69(6): e216-224.
11.	Sim RS, Smith JD, Chan AS. Comparison of the aesthetic facial proportions of southern Chinese and White Women. Arch Facial Plast Surg, 2000, 2(2): 113-120.
12.	Caplin DA, Perlyn CA. Rejuvenation of the aging neck: current principles, techniques, and newer modifications. Facial Plast Surg Clin North Am, 2009, 17(4): 589-601.
13.	王雪, 钱云良, 杨军, 等. 继发于儿童时期烧伤的严重颈部畸形的修复. 中华损伤与修复杂志(电子版), 2011, 6(6): 913-918.
14.	Zhang YX, Wang D, Follmar KE, et al. A treatment strategy for postburn neck reconstruction: emphasizing the functional and aesthetic importance of the cervicomental angle. Ann Plast Surg, 2010, 65(6): 528-534.
15.	林军, 章一新, 王丹茹, 等. 颈部瘢痕挛缩松解术中颌颈角的形成及意义. 上海交通大学学报: 医学版, 2006, 26(3): 309-311.
16.	陈科. 应用颏下脂肪带蒂翻转术矫正下颌后缩及颏下垂畸形. 中华医学美容杂志, 1999, 5(2): 97.
17.	卢建建, 滕利, 靳小雷, 等. 颏部双阶梯水平截骨术在严重小颏畸形治疗中的应用. 中国美容医学, 2011, 20(4): 567-569.
18.	Ninkovic M, Moser-Rumer A, Ninkovic M, et al. Anterior neck reconstruction with pre-expanded free groin and scapular flaps. Plast Reconstr Surg, 2004, 113(1): 61-68.
19.	蔡景龙. 对瘢痕形成与防治的认识. 中华损伤与修复杂志(电子版), 2010, 5(5): 573-577.
20.	Holavanahalli RK, Helm PA, Parry IS, et al. Select practices in management and rehabilitation of burns: a survey report. J Burn Care Res, 2011, 32(2): 210-223.
21.	Sharp PA, Dougherty ME, Kagan RJ, et al. The effect of positioning devices and pressure therapy on outcome after full-thickness burns of the neck. J Burn Care Res, 2007, 28(3): 451-459.

1. 李养群, 唐勇, 周传德, 等. 颈部瘢痕挛缩手术治疗中的颏部重建. 中华烧伤杂志, 2004, 20(6): 359-361.
2. 纪赓, 王守宝, 罗旭松, 等. 颈阔肌瓣双向翻转在颈部严重瘢痕增生挛缩整复中的应用. 组织工程与重建外科杂志, 2012, 8(1): 35-39.
3. 陈昭宏. 颏下动脉供血的颌底皮瓣的解剖学研究. 福建医药杂志, 2002, 24(2): 74-75.
4. 沈永岱. 颏下岛状皮瓣修复颊部软组织缺损26例临床分析. 中国实用口腔科杂志, 2011, 4(8): 491-493.
5. 周飞军, 许建辉, 张昊. 颏下岛状瓣转移修复口腔颌面部软组织缺损的临床应用. 现代医药卫生, 2012, 28(1): 1-5.
6. 李明月, 张伟, 刘宁, 等. 蒂部携带颈阔肌的颏下皮瓣的临床应用. 临床耳鼻咽喉头颈外科杂志, 2011, 25(2): 84-85.
7. 丁茂超, 毛以华, 陈世新, 等. 颏下动脉穿支皮瓣的数字解剖学研究. 中国临床解剖学杂志, 2010, 28(6): 603-610.
8. Powell N, Humphreys B. Proportions of the aesthetic face. New York: Thieme-Stratton Inc, 1984: 51-55.
9. Ellengogen R, Karlin JV. Visual criteria for success in restoring the youthful neck. Plast Reconstr Surg, 1980, 66(6): 826-837.
10. Iglesias-Linares A, Yáñez-Vico RM, Moreno-Manteca B, et al. Common standards in facial esthetics craniofacial analysis of most attractive black and white subjects according to people magazine during previous 10 years. J Oral Maxillofac Surg, 2011, 69(6): e216-224.
11. Sim RS, Smith JD, Chan AS. Comparison of the aesthetic facial proportions of southern Chinese and White Women. Arch Facial Plast Surg, 2000, 2(2): 113-120.
12. Caplin DA, Perlyn CA. Rejuvenation of the aging neck: current principles, techniques, and newer modifications. Facial Plast Surg Clin North Am, 2009, 17(4): 589-601.
13. 王雪, 钱云良, 杨军, 等. 继发于儿童时期烧伤的严重颈部畸形的修复. 中华损伤与修复杂志(电子版), 2011, 6(6): 913-918.
14. Zhang YX, Wang D, Follmar KE, et al. A treatment strategy for postburn neck reconstruction: emphasizing the functional and aesthetic importance of the cervicomental angle. Ann Plast Surg, 2010, 65(6): 528-534.
15. 林军, 章一新, 王丹茹, 等. 颈部瘢痕挛缩松解术中颌颈角的形成及意义. 上海交通大学学报: 医学版, 2006, 26(3): 309-311.
16. 陈科. 应用颏下脂肪带蒂翻转术矫正下颌后缩及颏下垂畸形. 中华医学美容杂志, 1999, 5(2): 97.
17. 卢建建, 滕利, 靳小雷, 等. 颏部双阶梯水平截骨术在严重小颏畸形治疗中的应用. 中国美容医学, 2011, 20(4): 567-569.
18. Ninkovic M, Moser-Rumer A, Ninkovic M, et al. Anterior neck reconstruction with pre-expanded free groin and scapular flaps. Plast Reconstr Surg, 2004, 113(1): 61-68.
19. 蔡景龙. 对瘢痕形成与防治的认识. 中华损伤与修复杂志(电子版), 2010, 5(5): 573-577.
20. Holavanahalli RK, Helm PA, Parry IS, et al. Select practices in management and rehabilitation of burns: a survey report. J Burn Care Res, 2011, 32(2): 210-223.
21. Sharp PA, Dougherty ME, Kagan RJ, et al. The effect of positioning devices and pressure therapy on outcome after full-thickness burns of the neck. J Burn Care Res, 2007, 28(3): 451-459.

Chinese Journal of Reparative and Reconstructive Surgery

MENTOCERVICAL RECONSTRUCTION AND EFFECTIVENESS EVALUATION IN TREATMENT OF MENTOCERVICAL CICATRICIAL CONTRACTURE DEFORMITY

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