Anterior cervical scar contracture repair

The degree of contraction of the scar in front of the neck is different. The most serious is the contraction of the chest (that is, the joint between the ankle and the sternum). In addition to seriously impeding the movement of the neck, it can be followed by a lower lip valgus, a corner slant, and an ear sling. Long and squat valgus and other deformities. In the early years of illness, mandibular dysplasia or cervical subluxation may occur. Treatment of diseases: violinist neck dermatitis neck injury Indication Neck scar contracture deformity. Contraindications Older, combined with severe heart, liver, kidney and other diseases and difficult to tolerate surgery. Preoperative preparation The patient's general health should be reviewed and examined in detail. If there is a chronic respiratory infection, the patient should be treated and then operated, especially if there is no cough, so as to prevent the survival of the postoperative skin graft. The disease that is often hooliganized should be cleaned and cleaned. Those with chronic ulcers on the chest should try to control the infection. Surgical procedure (1) Skin repair Raise the shoulders to completely relieve the contracture. Excision of the scar tissue should be thorough, the tip of the incision on both sides exceeds the midline of the neck side, and then the medium-thickness skin flaps larger than the wound surface are transplanted whole on the wound surface [Fig. 1]. The thyroid cartilage can be sutured several times in the local to prevent the postoperative swallowing action from affecting the survival of the skin. Finally, the package is wrapped. (B) partial rotation flap repair The skin of the neck, clavicle, shoulder and chest has the characteristics of thinness, loose base, rich blood supply, elasticity and extensibility, so it can be used as a rotating flap. Draw the line according to the size and shape of the wound, cut the skin, subcutaneous tissue, and sneak the separation flap. If the wound is not large, the wound can be closed with a rotating flap; if the wound is too large, the flap can be rotated to the wound surface of the anterior thyroid cartilage, and the wounds of the remaining underarm and upper chest areas are grafted and closed. (three) free flap repair Generally, the thoracic triangle flap and the lower abdomen flap should be taken, and the forearm flap can also be taken. complication Influencing the development, the mandible can be made to protrude, causing opening and wrong, and can also cause hunchback, the patient is extremely painful.

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