Shah Rahul, Kang Norbert
Department of Plastic Surgery, St George's Hospital, London, UK.
Ann R Coll Surg Engl. 2006 Jul;88(4):W9-11. doi: 10.1308/147870806X95258.
Covering large defects in the axillary fossa can be challenging because of its complex shape. A variety of local skin, fasciocutaneous and musculocutaneous flaps have been described, with a number of inherent advantages and disadvantages. The use of the pectoralis minor muscle as a pedicled transposition flap has been described for immediate reconstruction of the breast, anterior shoulder reconstruction and the treatment of bronchopleural fistula. We now describe the use of a pedicled pectoralis minor muscle flap for soft tissue coverage of the axillary contents after wide excision of the axilla. This has not been previously described.
由于腋窝形状复杂，覆盖腋窝的大缺损可能具有挑战性。已经描述了多种局部皮肤、筋膜皮瓣和肌皮瓣，它们都有一些固有的优缺点。胸小肌作为带蒂转位皮瓣已被用于乳房即刻重建、前肩部重建和支气管胸膜瘘的治疗。我们现在描述一种带蒂胸小肌皮瓣在腋窝广泛切除后用于覆盖腋窝内容物软组织的应用。此前尚未有过相关描述。
