안면부의 각을 이루는 흉터를 가진 환자에서의 단계적 방법을 이용한 흉터성형술 = Staged Scar Revision of Angulated Facial Scar

다국어 초록 (Multilingual Abstract)

Scar revision techniques are chief among the most important skills for facial plastic and reconstructive surgeons. In order to achieve the least amount of scarring following a surgical procedure, it is crucial that the surgeon always consider skin tension. In our hospital, staged scar revision was conducted on patients with angulated facial scars in order to reduce skin tension.
We conducted a retrospective chart review of patients undergoing staged scar revision for angulated facial scars at our hospital from July 2002 to September 2010. The follow-up period was at least six months. All pre-and post-operative photographs were analyzed by two independent plastic surgeons. And the patients were asked to rate their overall satisfaction with their scar revision as very satisfied (5), satisfied (4), neutral (3), dissatisfied (2) or completely dissatisfied (1).
Staged scar revision was used in 51 patients with angulated facial scars. Overall, a significantly improved scar and above (score 4), graded by an independent plastic surgerns, was notes in 47patients (92.1%). And, 45 patients (88.2%) were satisfied with their scar revisions. In all cases, the postoperative clinical course was uneventful without any complications.
In conclusion, staged scar revision is considered a good option for the treatment of angulated facial scar. (Archives of Aesthetic Plastic Surgery 17: 173, 2011)

참고문헌 (Reference)

1 최현곤, "동양인에게 보다 효과적인 안면부 흉터성형술" 대한미용성형외과학회 14 (14): 33-36, 2008

2 박진혁, "국소 동상을 이용한 반흔 절제술" 대한성형외과학회 31 (31): 144-148, 2004

3 Wilson AM, "Use of botulinum toxin type A to prevent widening of facial scars" 117 : 1758-, 2006

4 Thomas JR, "Update in scar revision" 10 : 103-, 2002

5 Sommerlad BC, "The stretched scar: a clinical and histological study" 31 : 34-, 1978

6 Su CW, "The problem scar" 25 : 451-, 1998

7 Brody GS, "The etiology of hypertrophic scar contracture: another view" 67 : 673-, 1981

8 Salam GA, "The basic Z-plasty" 67 : 2329-, 2003

9 Horswell BB, "Techniques for revision and camouflage" 6 : 55-, 1998

10 McGuire MF, "Studies of the excisional wound: I. Biomechanical effects of undermining and wound orientation on closing tension and work" 66 : 419-, 1980

11 Dunkin CS, "Scarring occurs at a critical depth of skin injury: precise measurement in a graduated dermal scratch in human volunteers" 119 : 1722-, 2007

12 Westine JG, "Scar revision" 13 : 325-, 2005

13 Park BY, "Scar Revision with W-plasty" 2 : 87-, 1996

14 Widgerow AD, "New innovations in scar management" 24 : 227-, 2000

15 McGaw WT, "A role for collagen phagocytosis by fibroblasts in scar remodeling: an ultrastructural stereologic study" 81 : 375-, 1983