Yang Qing, Yu Lihang, Wang Linhui, Gao Li, Su Ming, Yang Bo, Sun Yinghao
Department of Urology, Changhai Hospital, the Second Military Medical University, Shanghai, China.
Urol Oncol. 2008 Nov-Dec;26(6):600-3. doi: 10.1016/j.urolonc.2007.07.018. Epub 2008 Jan 14.
To describe a method of using rotary mutiflaps from scrotum, penis, and mons pubis to reconstruct large skin defect after local wide excision of penoscrotal extramammary Paget's disease (EMPD).
We reviewed our databases for the period between 1997 and 2005, and identified 5 cases of penoscrotal EMPD, all male aged between 56 to 69 (mean 63.2 years), who underwent local wild excision with subsequent reconstruction by rotary multiflaps.
All flaps survived with satisfactory functional and aesthetic results. No signs of recurrent disease or metastasis occurred during the follow-up period ranging from 5 to 36 months (mean 20 months).
Rotary mutiflaps is a safe and effective procedure for the reconstruction of large defect in penoscrotal EMPD.
描述一种使用来自阴囊、阴茎和耻骨联合的旋转多叶皮瓣，在阴茎阴囊部乳房外佩吉特病（EMPD）局部广泛切除术后重建大面积皮肤缺损的方法。
我们回顾了1997年至2005年期间的数据库，确定了5例阴茎阴囊部EMPD患者，均为男性，年龄在56至69岁之间（平均63.2岁），他们接受了局部广泛切除，随后采用旋转多叶皮瓣进行重建。
所有皮瓣均存活，功能和美学效果令人满意。在5至36个月（平均20个月）的随访期内，未出现疾病复发或转移迹象。
旋转多叶皮瓣是阴茎阴囊部EMPD大面积缺损重建的一种安全有效的方法。
