Abstract：
In recent decades, advances in surgical anatomy, burn pathophysiology, surgical techniques, and laser therapy have led to a paradigm shift in how we approach burn scars and contractures. Scar excision and replacement with uninjured tissue, which predominated burn scar treatment for much of the 20th century, is no longer appropriate in many patients. A scar\'s intrinsic ability to remodel can be induced by reducing tension on the scar using various techniques for local tissue rearrangement. Often in combination with laser therapy, local flaps can optimally camouflage a burn scar with adjacent normal tissue and restore a patient more closely to their preinjury condition.
摘要：
近几十年来,外科解剖学的进步，烧伤病理生理学，外科技术,和激光治疗导致了我们如何处理烧伤疤痕和挛缩的范式转变。疤痕切除和未受伤组织置换，在20世纪的大部分时间里，烧伤疤痕治疗占据主导地位，不再适合许多患者。可以通过使用用于局部组织重排的各种技术来降低疤痕上的张力来诱导疤痕的内在重塑能力。通常与激光治疗相结合，局部皮瓣可以最佳地掩盖烧伤疤痕与邻近的正常组织，并使患者更接近受伤前的状况。
