Paletta C E, Huang D B
Division of Plastic and Reconstructive Surgery, Saint Louis University School of Medicine and Cardinal Glennon Children's Hospital, MO, USA.
Ann Plast Surg. 1999 Sep;43(3):227-31. doi: 10.1097/00000637-199909000-00001.
The use of the reverse latissimus dorsi muscle flap based on its paraspinous perforators for posterior trunk wound coverage has been described previously. However, few studies have reported its intrathoracic application. In this study the authors present their experience in treating 3 patients with various intrathoracic defects using the reverse latissimus dorsi muscle flap. There were 1 male and 2 female patients who ranged in age from 4 to 74 years (mean, 49 years). The etiology included an infected aortic graft, a bronchopleural fistula, and a recurrent congenital diaphragmatic hernia. Follow-up ranged from 2 to 24 months. Successful outcomes were achieved in all 3 patients, and there was no recurrence or wound complication identified. Their results demonstrate the versatility and reliability of the reverse latissimus dorsi muscle flap in treating low posterior intrathoracic defects.
基于胸背肌棘旁穿支血管的背阔肌逆行肌皮瓣用于后躯干创面覆盖的应用此前已有报道。然而，鲜有研究报道其在胸腔内的应用。在本研究中，作者介绍了他们使用背阔肌逆行肌皮瓣治疗3例各种胸腔内缺损患者的经验。患者包括1例男性和2例女性，年龄范围为4至74岁（平均49岁）。病因包括感染性主动脉移植物、支气管胸膜瘘和复发性先天性膈疝。随访时间为2至24个月。所有3例患者均取得成功结果，未发现复发或伤口并发症。他们的结果证明了背阔肌逆行肌皮瓣在治疗胸腔后下部缺损方面的多功能性和可靠性。
