Spence Robert J
National Burn Reconstruction Center, Good Samaritan Hospital, Baltimore, MD 21239, USA.
Plast Surg Nurs. 2008 Apr-Jun;28(2):71-6; quiz 77-8. doi: 10.1097/01.PSN.0000324779.72966.fe.
This article presents the story of the development of an expanded transposition flap that evolved from a desire to optimally reconstruct facial burn deformities. The story spans 25 years and demonstrates how an algorithm was developed from its use, and how the algorithm is used to analyze large facial burn deformities and provide a reconstructive surgical decision making tree. The experience suggests that versatility, reliability, and minimization of the donor site defect and reconstructive time are all benefits of this approach.
本文讲述了一种扩展转位皮瓣的发展历程，它源于对最佳修复面部烧伤畸形的渴望。这个历程跨越了25年，展示了一种算法是如何从其应用中发展而来的，以及该算法如何用于分析大面积面部烧伤畸形并提供重建手术决策树。经验表明，这种方法具有通用性、可靠性，能将供区缺损和重建时间降至最低。
