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股前外侧游离皮瓣的血管解剖一种不常见的解剖变异。

An unusual anatomical variant of the vascular anatomy in the anterolateral thigh free flap.

机构信息

Department of Oral and Maxillofacial Surgery, University Hospitals Birmingham, Birmingham, UK.

出版信息

Int J Oral Maxillofac Surg. 2010 Jan;39(1):94-5. doi: 10.1016/j.ijom.2009.05.014. Epub 2009 Sep 4.

DOI:10.1016/j.ijom.2009.05.014
PMID:19733465
Abstract

The anterolateral thigh flap is a fasciocutaneous flap based on the descending branch of the lateral circumflex femoral artery. The vascular pedicle and its perforators have a varied anatomical course that has led to difficulties in flap harvest. Many papers have described the anatomical variation in the origin and path of this vessel, but they all show one artery and two accompanying venae commitantes. The authors report the first case of duplication of the descending branch of the lateral circumflex femoral artery. They discuss whether this variation requires two arterial anastomoses.

摘要

股前外侧皮瓣是一种基于旋股外侧动脉降支的筋膜皮瓣。其血管蒂及其穿支具有多变的解剖走行,这导致皮瓣切取存在困难。许多文献描述了该血管的起源和走行的解剖变异,但均显示一支动脉和两支伴行静脉。作者报告首例旋股外侧动脉降支的双重分支。他们讨论了这种变异是否需要进行两个动脉吻合。

相似文献

1
An unusual anatomical variant of the vascular anatomy in the anterolateral thigh free flap.股前外侧游离皮瓣的血管解剖一种不常见的解剖变异。
Int J Oral Maxillofac Surg. 2010 Jan;39(1):94-5. doi: 10.1016/j.ijom.2009.05.014. Epub 2009 Sep 4.
2
Alternative vascular pedicle of the anterolateral thigh flap: the oblique branch of the lateral circumflex femoral artery.股前外侧皮瓣的替代血管蒂:旋股外侧动脉斜支。
Plast Reconstr Surg. 2009 Feb;123(2):571-577. doi: 10.1097/PRS.0b013e318195658f.
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A cautionary point in the harvest of the anterolateral thigh myocutaneous flap.股前外侧肌皮瓣切取的注意事项。
Ann Plast Surg. 2009 Jun;62(6):637-9. doi: 10.1097/SAP.0b013e318184ab8c.
4
The oblique branch trap in the harvest of the anterolateral thigh myocutaneous flap.前外侧大腿肌皮瓣采集中的斜支陷阱。
Microsurgery. 2012 Nov;32(8):631-4. doi: 10.1002/micr.22011. Epub 2012 Jul 23.
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An anatomic assessment on perforators of the lateral circumflex femoral artery for anterolateral thigh flap.旋股外侧动脉穿支用于股前外侧皮瓣的解剖学评估。
J Craniofac Surg. 2007 Jul;18(4):866-71. doi: 10.1097/scs.0b013e3180a03304.
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The harvesting and insetting of a chimeric anterolateral thigh flap to reconstruct through and through cheek defects.应用嵌合的前外侧股前外侧皮瓣游离移植修复全层面颊缺损。
Int J Oral Maxillofac Surg. 2011 Dec;40(12):1421-3. doi: 10.1016/j.ijom.2011.05.020. Epub 2011 Aug 17.
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Vastus lateralis motor nerve can adversely affect anterolateral thigh flap harvest.股外侧肌运动神经会对股前外侧皮瓣切取产生不利影响。
Plast Reconstr Surg. 2007 Jul;120(1):196-201. doi: 10.1097/01.prs.0000264098.05399.6a.
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Clinical application of free anterolateral thigh flap in the reconstruction of intraoral defects.游离股前外侧皮瓣在口腔内缺损修复中的临床应用。
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Jul;112(1):34-41. doi: 10.1016/j.tripleo.2010.09.062. Epub 2010 Dec 31.
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Anterolateral thigh flap pedicle for interposition artery and vein grafts in head and neck reconstruction: a case report.用于头颈部重建中动静脉移植的股前外侧皮瓣蒂:1例报告
Microsurgery. 2009;29(2):136-7. doi: 10.1002/micr.20566.
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Using the descending branch of the lateral femoral circumflex vessel as a source of two independent flaps.使用旋股外侧血管降支作为两个独立皮瓣的供血源。
Plast Reconstr Surg. 2006 May;117(6):2059-63. doi: 10.1097/01.prs.0000210541.86837.66.

引用本文的文献

1
A Rare Anatomical Variation in the Pedicle of Anterolateral Thigh (ALT) Flap.股前外侧(ALT)皮瓣蒂部的一种罕见解剖变异
Indian J Plast Surg. 2021 Apr;54(2):229-231. doi: 10.1055/s-0041-1725226. Epub 2021 Jun 28.
2
A Case Report of Aberrant Vascular Anatomy of the Anterolateral Thigh Flap.股前外侧皮瓣异常血管解剖一例报告
Cureus. 2019 Dec 15;11(12):e6385. doi: 10.7759/cureus.6385.
3
Anthropomorphic and perforator analysis of anterolateral thigh flap in Indian population.印度人群股前外侧皮瓣的人体测量学与穿支分析
Indian J Plast Surg. 2013 Jan;46(1):59-68. doi: 10.4103/0970-0358.113709.