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.
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。