静脉血流穿支皮瓣作为头颈部重建中前臂桡侧游离皮瓣埋藏的外部监测器。

Venous flow-through flap as an external monitor for buried radial forearm free flap in head and neck reconstruction.

作者信息

Pellini Raul, Pichi Barbara, Ruggieri Marzia, Ruscito Paolo, Spriano Giuseppe

机构信息

Department of Otolaryngology, Head and Neck Surgery, National Cancer Institute Regina Elena, via Elio Chianesi 53, 00128 Rome, Italy.

出版信息

J Plast Reconstr Aesthet Surg. 2006;59(11):1217-21. doi: 10.1016/j.bjps.2006.01.026. Epub 2006 May 11.

DOI:10.1016/j.bjps.2006.01.026

PMID:17046632

Abstract

Postoperative monitoring of buried free flaps in head and neck reconstruction can be extremely difficult or impossible. The authors describe a series of 11 cases over a 21-month period, of buried radial forearm free flaps used in head and neck reconstruction. To monitor the main buried flap a small venous flow-through flap is supplied by and attached to the cephalic vein of a radial forearm free flap. This small venous skin flap is inset separately from the main paddle, so that it is visible at the external surface of the neck, furnishing information about the perfusion of the entire flap.

摘要

对头颈部重建中埋藏游离皮瓣进行术后监测可能极其困难甚至无法进行。作者描述了在21个月期间一系列11例使用桡骨前臂游离皮瓣进行头颈部重建的病例。为监测主要的埋藏皮瓣，一个小的静脉穿支皮瓣由桡骨前臂游离皮瓣的头静脉供血并与之相连。这个小的静脉皮瓣与主皮瓣分开植入，使其在颈部外表面可见，从而提供有关整个皮瓣灌注的信息。