Hirase Y, Kojima T, Kinoshita Y, Bang H H, Sakaguchi T, Kijima M
Department of Plastic and Reconstructive Surgery, Jikei University School of Medicine, Tokyo, Japan.
Plast Reconstr Surg. 1991 Mar;87(3):555-61. doi: 10.1097/00006534-199103000-00027.
A composite flap is presented based on the latissimus dorsi myocutaneous unit together with the underlying ninth to eleventh ribs. Three patients are presented. In two, a full-thickness chest-wall defect was present. In one, a full-thickness scalp and cranial defect was present. Use of the composite osteomyocutaneous latissimus dorsi free flap as a pedicled flap in two patients and as a free flap in one patient resulted in successful definitive reconstruction in all with no complications. This procedure necessitates no transplantation of soft tissue prior to bone grafting to maintain local vascularity, so the simultaneous one-stage reconstruction of an osseous-soft-tissue defect becomes possible easily.
本文介绍了一种基于背阔肌肌皮瓣并带有其下方第9至11肋的复合组织瓣。报告了3例患者。其中2例存在全层胸壁缺损。1例存在全层头皮和颅骨缺损。2例患者使用复合带蒂背阔肌骨肌皮瓣，1例患者使用游离背阔肌骨肌皮瓣，所有患者均成功完成确定性重建，无并发症发生。该手术无需在植骨前移植软组织以维持局部血运，因此能够轻松实现骨-软组织缺损的同期一期重建。
