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Rhombus Subcutaneous Pedicle Skin Flap for Reconstruction of Linear Depressed Postburn Scar Band

능형 피하경 피판을 사용한 사지부 화상후 구축성 함몰 Scar Band 재건

  • Kim, Dong Chul (Department of Plastic and Reconstructive Surgery, Advanced Burn Reconstruction Center, Bundang Jesaeng Hospital) ;
  • Kim, Ji Hoon (Department of Plastic and Reconstructive Surgery, Advanced Burn Reconstruction Center, Bundang Jesaeng Hospital) ;
  • Yu, Sung Hoon (Department of Plastic and Reconstructive Surgery, Advanced Burn Reconstruction Center, Bundang Jesaeng Hospital) ;
  • Shin, Chi Ho (Department of Plastic and Reconstructive Surgery, Advanced Burn Reconstruction Center, Bundang Jesaeng Hospital) ;
  • Lee, Chong Kun (Department of Plastic and Reconstructive Surgery, Advanced Burn Reconstruction Center, Bundang Jesaeng Hospital)
  • 김동철 (분당제생병원 성형외과, 화상재건센터) ;
  • 김지훈 (분당제생병원 성형외과, 화상재건센터) ;
  • 유성훈 (분당제생병원 성형외과, 화상재건센터) ;
  • 신치호 (분당제생병원 성형외과, 화상재건센터) ;
  • 이종건 (분당제생병원 성형외과, 화상재건센터)
  • Received : 2020.05.06
  • Accepted : 2020.05.21
  • Published : 2020.06.30

Abstract

This paper presents our clinical experiences for reconstruction of the linear depressed postburn scar band by rhombus subcutaneous pedicle skin flap (RSPF). We report new RSPF, it's versatility, and effectiveness for correction of the mild to moderate linear depressed postburn scar band. To correct the postburn scar band, we have newly designed the Rhombus Subcutaneous Pedicle Skin Flap (RSPF), which is made as rhombus-shaped skin flap on the inside of scar band. After excision of burn scar band, the each vertex of RSPF flap is advanced into the skin defects at apex of extended skin incision, which is starting from the upper and lower portion of the removed burn scar band at a near right angle. This flap can add more extra skin to adjacent superior and inferior area of excised scar band. We have experienced 2 cases of RSPF for reconstruction of linear depressed postburn scar band deformities in lower extremity. After 3 weeks to 3 months postoperative follow ups, relatively satisfactory results were obtained in all cases. We had successfully reconstructed the linear depressed postburn scar postburn band of lower extremity using the rhombus subcutaneous pedicle skin flap. For the correction of mild to moderate sized linear depressed postburn scar band deformities in extremity, the RSPF is simple, and very effective without donor morbidity.

Keywords

References

  1. Oosterwijk AM, J. Mouton LJ, Schouten H, Disseldorp LM, Schans CP, Nieuwenhuis MK. Prevalence of scar contractures after burn: A systematic review. Burns 2017;43:41-49. https://doi.org/10.1016/j.burns.2016.08.002
  2. Zhang L, Jin R, Shi YM, Sun BS, Pu ZM, Yu-Guang Zhang YG. Reversed Z-plasty and its variations to release wide-scar contraction. Burns 2014;40:1185-1188. https://doi.org/10.1016/j.burns.2013.12.016
  3. Joo JH, Kim HS, Park BK, Jang YC, Kim DC. Reconstruction of the lower face and neck with tissue expansion. Korean J Plast Reconstr Surg 1995;22:852-860.
  4. Suzuki S, Isshik N, Kshileawa K, et al. The use of subcutaneous pedicle flaps in the treatment of postburn scar contractures. Plast Reconstr Surg. 1988;80:792-798. https://doi.org/10.1097/00006534-198712000-00006
  5. Niekerk WJC, Taggart I. The size of the Y: The multiple Y-V plasty revisited. Burns 2008;34:257-261. https://doi.org/10.1016/j.burns.2007.03.019
  6. Lin TM, Su-Shin Lee SS, Chung-Sheng Lai CS, Sin-Daw Lin SD. Treatment of axillary burn scar contracture using opposite running Y-V-plasty. Burns 2005:31:894-900. https://doi.org/10.1016/j.burns.2005.04.028
  7. Murakami M, Hyakusoku H, Rei Ogawa R. The scar band rotation flap. Burns 2005;31:220-2227. https://doi.org/10.1016/j.burns.2004.09.012
  8. Lee HY, Kim DC, Lee R, Kim JH, Kim TY, Tark KC. Modified Y-V Flaps for Treatment of Postburn Scar Contractures and Scar Reduction in Extremity. J Korean Burn Soc 2015;18:69-73.