Johnson T M, Swanson N, Baker S R
Department of Dermatology, University of Michigan Medical Center, Ann Arbor, Michigan 48109-0314, USA.
Dermatol Surg. 2000 Mar;26(3):274-8. doi: 10.1046/j.1524-4725.2000.09178.x.
The optimal design of a skin flap requires an understanding of the concepts of tissue movement.
The purpose of this manuscript was to demonstrate concepts of sliding and lifting tissue movement for flap reconstruction.
Six similar defects located in the forehead-temple-eyebrow region were repaired using a different skin flap.
The specific flap design for a given defect is based on the answer to three predictable events that result from tissue transfer: Where is the tension? Where are the final incision lines? Where is the redundant tissue?
A mental exercise assessing all available reconstruction options should be performed for each individual patient and defect. Both patient and defect considerations need to be assessed. A thorough understanding of both anatomy and tissue movement is necessary for optimal skin flap reconstruction.
皮瓣的最佳设计需要理解组织移动的概念。
本文的目的是展示用于皮瓣重建的滑动和提升组织移动的概念。
使用不同的皮瓣修复位于额颞眉区域的六个相似缺损。
针对特定缺损的具体皮瓣设计基于对组织转移导致的三个可预测情况的答案：张力在哪里？最终切口线在哪里？多余组织在哪里？
应为每位患者和每个缺损进行评估所有可用重建选项的思维练习。患者和缺损因素都需要评估。为实现最佳皮瓣重建，必须全面了解解剖结构和组织移动情况。
