Fujiwara Takashi, Nishino Kenichi, Numajiri Toshiaki
Department of Plastic and Reconstructive Surgery, Kyoto Prefectural University of Medicine, 465 Kajii-cho Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan.
J Plast Reconstr Aesthet Surg. 2009 Jun;62(6):790-4. doi: 10.1016/j.bjps.2007.09.055. Epub 2008 Apr 18.
We have described a prefabricated radial forearm free flap containing costal cartilage for tracheal reconstruction. The main advantages of this flap are that it requires only one piece of costal cartilage, simple cartilage trimming, and allows the possible reconstruction of both the internal lining and the external resurfacing when the flap itself is folded. This procedure is easy and its outcome is stable. This flap is an attractive option for the reconstruction of large tracheal and skin defects, even in areas previously exposed to surgery or irradiation.
我们描述了一种用于气管重建的包含肋软骨的预制桡侧前臂游离皮瓣。该皮瓣的主要优点是仅需一块肋软骨，软骨修整简单，并且当皮瓣自身折叠时可同时重建气管内衬和外部表面。该手术操作简便且效果稳定。即使在先前接受过手术或放疗的区域，这种皮瓣也是重建大面积气管和皮肤缺损的一个有吸引力的选择。
