CAJ | 학술논문

目的探讨采用双Z成形术矫正蹼颈缺陷的临床效果,并探讨该设计的原理及优越性.方法在耳后至乳突后发际设计一个Z成形术,并在其后下缘斜方形切除一部分带毛发的皮肤,另外在肩峰内上方设计一个与上述切口不连续的Z成形术,两个Z成形术经过转位后达到延长带状条索的目的 .而部分带毛发的皮肤切除后,带状条索分别在乳突下部和锁骨中线处切断,中段向内侧回缩,与Z成形术结合从而使颈蹼消失.结果该方法仅需要较小范围的皮下剥离和少量的皮肤切除,切口隐蔽、剥离范围小、瘢痕轻微,无肥厚性瘢痕增生.共矫正蹼颈缺陷5例,其中男性1例,女性4例.随访1～11年,医患均满意.结论采用此方法治疗蹼颈畸形,不仅操作简便,在局部麻醉下就可以完成,而且具有美容效果.
목적 탐토채용쌍Z성형술교정복경결함적림상효과,병탐토해설계적원리급우월성.방법 재이후지유돌후발제설계일개Z성형술,병재기후하연사방형절제일부분대모발적피부,령외재견봉내상방설계일개여상술절구불련속적Z성형술,량개Z성형술경과전위후체도연장대상조색적목적 .이부분대모발적피부절제후,대상조색분별재유돌하부화쇄골중선처절단,중단향내측회축,여Z성형술결합종이사경복소실.결과 해방법부수요교소범위적피하박리화소량적피부절제,절구은폐、박리범위소、반흔경미,무비후성반흔증생.공교정복경결함5례,기중남성1례,녀성4례.수방1～11년,의환균만의.결론 채용차방법치료복경기형,불부조작간편,재국부마취하취가이완성,이차구유미용효과.
Objective To study the clinical efficacy of bilateral double Z plasties for correction of the webbed neck defects, and to explore its principle and superiority to other reported methods. Methods We designed a small Z plasty over the mastoid with a rhomboidal skin resection of infra-hairline, and another large Z plasty transposition skin flap in superior-acromion. The tight band of fibrous webbing was separately cut and undermined at infra-mastoid and midclavicular line, wherein the middle part of the band retracted medially.Results It involved narrow tunneled anterolateral skin undermining and minimal skin resections from the nape of the neck, and posterior rhomboidal skin excision avoided the unnatural and noticeable lateral scars with normal skin extended in the middle of the webbing.The resultant scar was hidden and mild with no hypertrophic scars. A total of 5 cases were repaired, in which 1 case was male, 4 others were females. Follow-up for 1 to 11 years showed that the appearance and function in the repaired sites by using the bilateral double Z-plasties for repair of webbed neck deformity were very satisfactory. Conclusion We propose the use of this technique for correction of webbed neck deformities with simplified manipulation and cosmetic effect.