Gilbert D A, Jordan G H, Devine C J, Winslow B H
Department of Plastic Surgery, Eastern Virginia Medical School, Norfolk.
Plast Reconstr Surg. 1992 Oct;90(4):711-6. doi: 10.1097/00006534-199210000-00027.
Presently, the donor flap of choice for microsurgical phallic reconstruction is the radial forearm flap. The success of several different design modifications confirms the reliability of the radial and ulnar forearm flaps. Farrow et al. described their experience with the "cricket bat" concept in 1980. To the previous "cricket bat" design, we now wish to add modifications. These modifications utilize longitudinal and transverse rotations of the linear forearm tissues to create a phallus--much like the transformation of a toy robot into a truck. Deepithelialized flaps and a full-thickness skin graft coronoplasty complete glans reconstruction. The "cricket bat-transformer" flap appears to produce the most predictable results in subtotal phallic reconstructions and phallic constructions in the pediatric and transgender patient groups.
目前，显微外科阴茎再造首选的供体皮瓣是桡侧前臂皮瓣。几种不同设计改良的成功证实了桡侧和尺侧前臂皮瓣的可靠性。法罗等人在1980年描述了他们使用“板球拍”概念的经验。在此之前的“板球拍”设计基础上，我们现在希望增加一些改良。这些改良利用前臂线性组织的纵向和横向旋转来塑造阴茎，就像将玩具机器人变成卡车一样。去上皮化皮瓣和全厚皮片冠状成形术完成龟头再造。“板球拍-变形金刚”皮瓣在小儿和跨性别患者组的阴茎次全再造和阴茎再造中似乎能产生最可预测的结果。
