目的介绍颈阔肌瓣双向翻转技术在修复颈部瘢痕挛缩中的应用。方法针对15例烧伤后颈部瘢痕挛缩患者,利用颈阔肌瓣双向翻转技术加深颏颈角并形成缓和自然的颈胸部过渡,颈部创面移植厚中厚皮片或全厚皮片。结果15例患者皮片均成活良好,颏颈角明显,颈部自然曲线和活动度基本恢复,效果满意。结论颈阔肌瓣双向翻转技术能有效解决颈部瘢痕挛缩,具有进一步深入探讨和推广应用的价值。

Objective To introduce a surgical technique of two directions folding of platysma flap in reconstruction for cervical cicatrix contracture.Methods Fifteen patients with cervical scar contracture were treated with split to full thickness skin grafts,combined with platysma flap double directions folding that deepen cervico-mandibular angle and cover scar section.Results All skin grafts survived and natural cervical appearance with smooth transition and improved activity were achieved.Conclusion The new technique of two directions folding of platysma flap was proved to be effective in the treatment of cervical scar contracture.