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内镜辅助下带蒂胸大肌肌瓣的切取

Endoscopic assisted harvest of the pedicled pectoralis major muscle flap.

作者信息

Turkmen Arif, Perks A Graeme B

机构信息

Plastic Surgery Department, Nottingham City Hospital, Hucknal Road, Nottingham NH5 1PB, UK.

出版信息

Br J Plast Surg. 2005 Mar;58(2):170-4. doi: 10.1016/j.bjps.2004.10.019.

Abstract

The Pectoralis Major flap is a reliable and versatile flap for head and neck reconstruction. However, it is associated with donor site scarring on the anterior of the chest wall. Endoscopic assisted harvest of a pedicled pectoralis major muscle flap was performed on three patients for head and neck reconstruction. The average incision length was 4.5 cm, the average time taken to harvest the muscle was 37 min. All patients were discharged from hospital on the 5th to 8th postoperative day and one patient had a seroma. Endoscopic harvest of the pedicled Pectoralis major muscle flap minimises postoperative scarring.

摘要

胸大肌皮瓣是用于头颈部重建的一种可靠且多功能的皮瓣。然而,它会导致胸壁前部供区瘢痕形成。对3例患者进行了内镜辅助下带蒂胸大肌肌皮瓣切取术用于头颈部重建。平均切口长度为4.5厘米,切取肌肉的平均时间为37分钟。所有患者均在术后第5至8天出院,1例患者出现了血清肿。内镜下切取带蒂胸大肌肌皮瓣可将术后瘢痕形成降至最低。

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