김도형·양원용·유영천·고법민
경희대학교
의과대학 성형외과학교실
Scar
Revision of Wide Facial Scar By Serial Excision
Using the Sure-Closureⓡ
Do Hyung Kim, MD., Won
Yong Yang, MD., Young Cheun Yoo, MD., Bub Min Ko,
MD.
Department of Plastic and Reconstructive
Surgery,
Colleage of Medicine, KyungHee University,
Seoul, Korea
Conventional
methods of scar revision of wide facial scar are
skin graft, local flap coverage, local flap using
the tissue expander, and free 리ap method, but these
methods have disadvantages such as color dismatching,
deformi쇼 of facial structure, inevitable additional
scar, great expense, and waste of time. From April
l996 to April 200l, we performed the scar revision
of wide facial scar by serial excision using the
Sure-Closureⓡ in 8 patients. Of these had scars
on the cheeks, 2 on the preauricle, and the remaining
2 on the mentum and temporal area. The mean follow-up
period was l8 months, ranging from 6 to 24 months.
By pinching the skin on the scar site, we got a
rough idea as to whether the available skin on either
side of excision margin was sufficient for closure.
The tension on the skin margin was 3.0 kilograms
and the device was employed over a duration of 50
minutes. A skin stretching device is designed to
exploit the viscoelastic properties, that is mechanical
creep and stress relaxation. In this study, we use
the serial excision with the Sure-Closureⓡ, because
excessive scar excision could result in the deformity
of facial structure and 재und dehiscence, hypertrophic
scar, and skin necrosis. The skin stretching device
is easy to use and achieves good aesthetic results
in the scar revision d wide facial scar.
Key
Words : Skin stretching device, Serial excision |
