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Case Reports
Versatility of modified planimetric Z-plasties in the treatment of scar with contracture.
- S Suzuki, S C Um, B M Kim, K Shin-ya, K Kawai, and Y Nishimura.
- Department of Plastic Surgery, Postgraduate School of Medicine, Kyoto University, Japan.
- Br J Plast Surg. 1998 Jul 1; 51 (5): 363-9.
AbstractThe planimetric Z-plasty proposed by Roggendorf provides elongation by excision of a pair of triangular pieces of tissue. The application of planimetric Z-plasties has been modified by making the vertical angle flexible, and making them continuous in the same or in opposite directions. Continuous planimetric Z-plasties in the same direction elongate an oblique contracture in the longitudinal direction. Continuous planimetric Z-plasties in an alternative direction elongate a disproportioned scar contracture in the longitudinal direction. Both techniques partially reduce unsightly scarring. Furthermore, they can be used in combination with V-Y-plasties. These modifications permit rational planing of the treatment of complicated scars with contracture.
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