| Title | Treatment of axillary burn scar contracture using opposite running Y-V-plasty. | | Author(s) | Lin TM, Lee SS, Lai CS, Lin SD | | Institution | Department of Plastic Surgery, Kaohsiung Medical University Chung-Ho Memorial Hospital, 100 Tzyou 1st Road, Kaohsiung 80708, Taiwan. ming@kmu.edu.tw | | Source | Burns 2005 Nov; 31(7):894-900. | | MeSH | Adolescent
Adult
Axilla
Burns
Child
Cicatrix
Contracture
Female
Humans
Male
Middle Aged
Range of Motion, Articular
Reconstructive Surgical Procedures
Surgical Flaps
Wound Healing
| | Abstract | Burn scar contractures are frequently observed following full-thickness burns of the axillary area. Such contractures are traditionally reconstructed sometime within the first year after injury with therapeutic methods including skin grafting, Z-plasty, local/regional flap, island flap, perforator flap, free flap or combination thereof. Flap methods have many advantages over split skin grafting, including less likelihood of recurrence of contracture as well as making prolonged splinting unnecessary. However these flaps are cumbersome, unattractive, and apparently distort the axillary hair. Moreover, they have a risk of flap necrosis or marginal vascular compromise. A new opposite running Y-V-plasty presented here is designed to overcome those dilemmas. This procedure was performed in eight cases with good functional recovery and cosmetic appearance. It is also a simple, adaptable, and reliable method. The range of motion of shoulder joint was also satisfactorily achieved since axillary contracture scars were almost completely released. Most of all the procedure can be repeated if the release is not enough. In short, the opposite running Y-V-plasty is a good alternative method when we consider the reconstruction of axillary burn contracture. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 16009495 |
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