O'Neill Patrick J, Litts Christopher
Department of Surgery, Division of Plastic Surgery, Medical University of South Carolina, 650 Ellis Oak Avenue, Charleston, SC 29412, USA.
Clin Plast Surg. 2004 Jan;31(1):113-9. doi: 10.1016/s0094-1298(03)00121-4.
Skin cancer is common on the dorsum of the hand and forearm. The reconstructive challenges in this area are significant, and the options are myriad. Thus, the surgeon who takes on this challenge must know the various options. These options include the entire reconstructive ladder from direct closure all the way through to composite-free tissue transfer. Nail bed reconstruction should be mastered. In addition, the surgeon should be comfortable with all the reliable flaps, including the kite flap, the cross-finger flap, the reverse cross-finger flap, the rotation-advancement flaps, transposition flaps, and the radial forearm flap.
皮肤癌在手背和前臂很常见。该区域的重建挑战巨大，且选择众多。因此，应对这一挑战的外科医生必须了解各种选择。这些选择包括从直接缝合到无复合组织移植的整个重建阶梯。应掌握甲床重建。此外，外科医生应熟悉所有可靠的皮瓣，包括风筝皮瓣、邻指皮瓣、逆行邻指皮瓣、旋转推进皮瓣、易位皮瓣和桡动脉前臂皮瓣。
