PDF(Sci-hub)
Abstract：
OBJECTIVE: A suture line placed with the same direction as the relaxed skin tension line leads to good healing, but a suture line with over 30 degrees of angle from the relaxed skin tension line leads to longer healing time and more prominent scarring. W-plasty is widely used to change the direction of the scar or to divide it into several split scars. In this study, we applied W-plasty to patients with facial lacerations in the emergency department.
METHODS: From June 2012 to December 2014, 35 patients underwent simple repair or W-plasty for facial lacerations. Patients in the simple repair group underwent resection following a thermal margin, and the W-plasty group was resected within a pre-designed margin of W-shaped laceration. We assessed prognosis using the Stony Brook Scar Evaluation Scale (SBSES) after 10 days (short-term) and six months (long-term), respectively, following suture removal.
RESULTS: Among 35 patients, 15 (42.9%) underwent simple debridement and 20 (57.1%) underwent W-plasty. In the W-plasty group, there was no difference between short-term and long-term follow-up showing high SBSES, but in the simple debridement group, long-term follow-up SBSES significantly decreased. W-plasty SBSES was higher than simple debridement at short-term as well as long-term follow-up.
CONCLUSIONS: We experienced good results of direct W-plasty application at six-month long-term follow-up. Therefore, W-plasty application is more effective in reducing scar appearance than a simple debridement method for facial laceration patients with an angle of 30 degrees or more to the relaxed skin tension line.
METHODS: From June 2012 to December 2014, 35 patients underwent simple repair or W-plasty for facial lacerations. Patients in the simple repair group underwent resection following a thermal margin, and the W-plasty group was resected within a pre-designed margin of W-shaped laceration. We assessed prognosis using the Stony Brook Scar Evaluation Scale (SBSES) after 10 days (short-term) and six months (long-term), respectively, following suture removal.
RESULTS: Among 35 patients, 15 (42.9%) underwent simple debridement and 20 (57.1%) underwent W-plasty. In the W-plasty group, there was no difference between short-term and long-term follow-up showing high SBSES, but in the simple debridement group, long-term follow-up SBSES significantly decreased. W-plasty SBSES was higher than simple debridement at short-term as well as long-term follow-up.
CONCLUSIONS: We experienced good results of direct W-plasty application at six-month long-term follow-up. Therefore, W-plasty application is more effective in reducing scar appearance than a simple debridement method for facial laceration patients with an angle of 30 degrees or more to the relaxed skin tension line.
摘要：
目的：以与松弛的皮肤张力线相同的方向放置的缝合线导致良好的愈合，但是与松弛的皮肤张力线成30度角的缝合线会导致更长的愈合时间和更明显的疤痕。W-成形术广泛用于改变疤痕的方向或将其分成几个裂开的疤痕。在这项研究中,我们在急诊科对面部撕裂的患者进行了W-成形术.
方法：从2012年6月至2014年12月，35例患者接受了单纯修复或W-成形术治疗面部撕裂伤。简单修复组的患者在热切缘后接受了切除术，W型成形术组在预先设计的W型裂伤边缘内切除。我们在10天（短期）和6个月（长期）后使用StonyBrook疤痕评估量表（SBSES）评估预后，分别,缝线移除后。
结果：在35名患者中，15例（42.9％）进行了简单的清创术，20例（57.1％）进行了W成形术。在W形整形组中，短期和长期随访显示高SBSES没有差异，但是在简单的清创组中，长期随访SBSES显著下降。在短期和长期随访中，W成形术SBSES均高于简单清创。
结论：在6个月的长期随访中，我们经历了直接W型成形术的良好结果。因此,对于与松弛的皮肤张力线成30度或更大角度的面部裂伤患者，W型成形术在减少疤痕外观方面比简单的清创方法更有效。
方法：从2012年6月至2014年12月，35例患者接受了单纯修复或W-成形术治疗面部撕裂伤。简单修复组的患者在热切缘后接受了切除术，W型成形术组在预先设计的W型裂伤边缘内切除。我们在10天（短期）和6个月（长期）后使用StonyBrook疤痕评估量表（SBSES）评估预后，分别,缝线移除后。
结果：在35名患者中，15例（42.9％）进行了简单的清创术，20例（57.1％）进行了W成形术。在W形整形组中，短期和长期随访显示高SBSES没有差异，但是在简单的清创组中，长期随访SBSES显著下降。在短期和长期随访中，W成形术SBSES均高于简单清创。
结论：在6个月的长期随访中，我们经历了直接W型成形术的良好结果。因此,对于与松弛的皮肤张力线成30度或更大角度的面部裂伤患者，W型成形术在减少疤痕外观方面比简单的清创方法更有效。
