Meltem Ayhan, Metin Gorgu, Zeynep Aytug, Cenk Melikoglu, Betul Ulusal Gozel
Department of Plastic and Reconstructive Surgery, Izmir Ataturk Research and Training Hospital, Izmir, Turkey.
Microsurgery. 2007;27(5):420-4. doi: 10.1002/micr.20385.
The deltoid free flap is a thin, reliable flap that is easily dissected from the posterolateral arm. It has large-caliber vessels and is capable of sensory reinnervation to portions of the flap above the deltoid/triceps groove through the lateral brachial cutaneous nerve. There is little sensory return to the large vascular territory, which can be extended inferiorly below the deltoid triceps groove. The donor site can be closed primarily or skin grafted and when large may be objectionable to some patients. The flap is an excellent choice for extremity soft-tissue reconstruction on the plantar or palmar surfaces. Because of its excellent color-matching and texture-matching characteristics, it has recently been widely used for the reconstruction of soft-tissue defects during oral and maxillofacial surgery.
三角肌游离皮瓣是一种薄且可靠的皮瓣，易于从臂后外侧切取。它有大口径血管，并且能够通过臂外侧皮神经对三角肌/肱三头肌沟上方的皮瓣部分进行感觉再支配。在三角肌肱三头肌沟下方的大片血管区域几乎没有感觉恢复。供区可直接缝合或植皮，面积较大时可能会让一些患者难以接受。该皮瓣是足底或手掌面肢体软组织重建的极佳选择。由于其出色的颜色和质地匹配特性，它最近已广泛用于口腔颌面外科手术中的软组织缺损重建。
