The Two Facing Square Flaps Method for Release of Anterior and Posterior Axillary Line Burn Contractures

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-10-04 DOI:10.3390/ebj4040034

Whitney Laurel Quong, Rei Ogawa

引用次数: 0

Abstract

With improved burn outcomes and survival rates, the focus of management in large burns has shifted from merely survival towards optimizing form and function for the burn survivor. Due to its unique structural features and functional demands however, the axilla is prone to contracture formation, and remains complex to reconstruct. Where contractures involve both the posterior and anterior axillary lines, the two facing square flaps method is a suitable choice for a wide range of patients. The flap design is flexible, and is relatively safe with a sufficient blood supply. Superior lengthening of approximately 3–4 times can be achieved, and is maintainable. In this surgical technique paper, we describe the strategy of the two facing square flaps, and present two patterns of its application, with representative cases of the local flap method.

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面向两方皮瓣解除腋窝前后线烧伤挛缩的方法

随着烧伤预后和存活率的提高，大面积烧伤的管理重点已经从单纯的生存转向优化烧伤幸存者的形式和功能。然而，由于其独特的结构特点和功能要求，腋窝容易发生挛缩，重建起来仍然很复杂。当挛缩同时涉及腋后线和腋前线时，两个面向的方形皮瓣方法是广泛患者的合适选择。皮瓣设计灵活，相对安全，血液供应充足。可以达到大约3-4倍的优越延长，并且是可维护的。在这篇外科技术文章中，我们描述了两个面向正方形皮瓣的策略，并介绍了其两种应用模式，并以局部皮瓣法为代表。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.