Cordova A, Stagno D'Alcontres F, Corradino B, Napoli P, Latteri F, Moschella F
Università degli Studi, Palermo, Italy.
Minerva Chir. 2002 Apr;57(2):229-36.
The use of an external oblique muscle-cutaneous flap in the reconstruction of large chest wall defects after mastectomy is described. The flap is drown as a V-Y advancement-rotation flap, laterally based, on the ipsilateral abdominal wall. The flap extends from the posterior axillary line to the linea alba, vascular supply is provided by the musculo-cutaneous perforating arteries of the intercostal vessels. Mobilization starts medially including the anterior rectus sheath, décollement continues between the external and the internal oblique muscles as far as the posterior axillary line. The abdominal wall, after flap mobilization, is reinforced by the plication of the internal oblique sheath. The flap was used in 13 patients with major anterior chest-wall defects after mastectomy. In one patient a marginal skin necrosis of about 2 cm was observed. The flap described differs from other external oblique flaps already described in several technical innovations that allow to obtain better functional and esthetic results.
描述了在乳房切除术后大胸壁缺损重建中使用腹外斜肌皮瓣的情况。该皮瓣设计为基于同侧腹壁外侧的V-Y推进旋转皮瓣。皮瓣从腋后线延伸至白线，其血供由肋间血管的肌皮穿支动脉提供。游离从内侧开始，包括腹直肌前鞘，在腹外斜肌和腹内斜肌之间分离直至腋后线。皮瓣游离后，通过折叠腹内斜肌鞘加强腹壁。该皮瓣用于13例乳房切除术后前胸壁大面积缺损的患者。1例患者出现约2cm的边缘性皮肤坏死。所描述的皮瓣在一些技术创新方面与已描述的其他腹外斜皮瓣不同，这些创新能够获得更好的功能和美学效果。
