Noda I, Saito H, Fujieda S, Tsuda G, Honda N, Manabe Y, Otsubo T, Mori S, Ikeda T
Department of Otorhinolaryngology, Fukui Medical School.
Nihon Jibiinkoka Gakkai Kaiho. 1991 Dec;94(12):1865-71. doi: 10.3950/jibiinkoka.94.12_1865.
One-stage reconstruction of head and neck defects following radical surgery was performed for two patients with the peroneal flaps which had the peroneal artery, vein and their branches as a pedicle. These flaps were viable without any post-operative complications. The advantages of these flaps are described as follows. (1) The subcutaneous fat is thin, and thus the flap is flexible and not bulky. (2) The diameters of the peroneal artery and vein are relatively large and the pedicle is long. (3) A pretty large size of the flap can be utilized. (4) A relatively long bone can be obtained together with skin at the same time, and the angle of the fibula can be easily changed. (5) Bleeding is little when the flap is taken out. (6) The resection of the tumor and the harvest of the flap can be done at the same time, due to different surgical areas. (7) The skin graft to the donor defect is not necessary, and the defect can be closed at one-stage. (8) The donor site does not stand out. Thus, this method is cosmetically excellent. This procedure has many advantages. Reconstruction with the peroneal flap offers a safe, reliable, and versatile method.
对两名患者采用以腓动脉、静脉及其分支为蒂的腓骨瓣对根治性手术后的头颈部缺损进行一期重建。这些皮瓣均存活，无任何术后并发症。这些皮瓣的优点如下：（1）皮下脂肪薄，因此皮瓣灵活且不臃肿。（2）腓动脉和静脉直径相对较大，蒂长。（3）可利用相当大尺寸的皮瓣。（4）可同时获得相对较长的骨与皮肤，且腓骨角度易于改变。（5）切取皮瓣时出血少。（6）由于手术区域不同，肿瘤切除和皮瓣切取可同时进行。（7）无需对供区缺损进行植皮，缺损可一期闭合。（8）供区不突出。因此，该方法美容效果极佳。该手术有许多优点。用腓骨瓣重建提供了一种安全、可靠且通用的方法。
