Russell R C, Feller A M, Elliott L F, Kucan J O, Zook E G
Department of Surgery, Southern Illinois University School of Medicine, Springfield.
Plast Reconstr Surg. 1991 Nov;88(5):814-23. doi: 10.1097/00006534-199111000-00012.
The vascular territory of the pectoralis major muscle and overlying skin was studied by selective intraarterial dye injections in fresh cadavers. The area of skin overlying the anterior chest and abdominal wall beyond the limits of the pectoralis major muscle that can be elevated as an extended myocutaneous flap was determined. The cadaver injections were evaluated to determine the size and shape of the skin island used to reconstruct defects of the head, neck, and upper trunk with an extended skin paddle off the pectoralis major muscle. Pectoralis muscle flaps with variously shaped skin paddles, some extending beyond the limits of the muscle, were used in 27 patients to cover large soft-tissue defects of the upper thorax, face, and floor of the mouth and as a skin tube to reconstruct the cervical esophagus. The size of the skin paddle ranged from 5 x 7 cm to 26 x 16 cm. All flaps survived completely, and there were no major donor-site complications.
通过在新鲜尸体上进行选择性动脉内染料注射，研究了胸大肌及其覆盖皮肤的血管分布区域。确定了胸大肌范围以外的前胸和腹壁上可作为延长肌皮瓣提起的皮肤区域。对尸体注射情况进行评估，以确定用于通过胸大肌上的延长皮瓣重建头、颈和上躯干缺损的皮岛的大小和形状。使用带有各种形状皮瓣（有些皮瓣超出肌肉范围）的胸肌瓣，对27例患者进行手术，以覆盖上胸部、面部和口腔底部的大型软组织缺损，并作为皮管重建颈段食管。皮瓣大小范围为5×7厘米至26×16厘米。所有皮瓣均完全存活，且未出现严重的供区并发症。
