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用于闭合桡侧前臂皮瓣供区缺损的尺侧筋膜皮瓣的“Z成形术”改良法

"Z-plasty" modification of ulnar-based fasciocutaneous flap for closure of the radial forearm flap donor defect.

作者信息

Bashir Muhammad Asim, Fung Victoria, Kernohan Michael David, Ragbir Maniram, Ahmed Omar A

机构信息

Department of Plastic and Reconstructive Surgery, Royal Victoria Infirmary, Newcastle-Upon-Tyne, UK.

出版信息

Ann Plast Surg. 2010 Jan;64(1):22-3. doi: 10.1097/SAP.0b013e3181a13d8d.

DOI:10.1097/SAP.0b013e3181a13d8d
PMID:20023451
Abstract

The radial forearm flap is a commonly used method of intra-oral reconstruction, but problems with the donor site are not uncommon. In an attempt to avoid complications, Elliot et al described the use of an ulnar-based flap to obtain direct closure. Where it was not possible to close the proximal defect using V-Y closure, the use of a split skin graft was recommended. We describe a modification of their technique that can potentially obviate the need of a split skin graft when proximal closure is not possible.

摘要

桡侧前臂皮瓣是口腔内重建常用的方法,但供区问题并不少见。为避免并发症,埃利奥特等人描述了使用基于尺侧的皮瓣以实现直接缝合。当无法使用V-Y缝合关闭近端缺损时,建议使用断层皮片移植。我们描述了一种对他们技术的改良方法,当近端无法缝合时,这种改良方法有可能避免使用断层皮片移植的需求。

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引用本文的文献

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Plast Reconstr Surg Glob Open. 2022 Nov 28;10(11):e4682. doi: 10.1097/GOX.0000000000004682. eCollection 2022 Nov.
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J Korean Assoc Oral Maxillofac Surg. 2021 Dec 31;47(6):427-431. doi: 10.5125/jkaoms.2021.47.6.427.
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[Rotation and advancement of the radial-based fasciocutaneous flap for primary closure of the radial forearm flap donor defect].[基于桡动脉的筋膜皮瓣旋转推进用于一期闭合前臂桡侧皮瓣供区缺损]
Hua Xi Kou Qiang Yi Xue Za Zhi. 2016 Oct 1;34(5):478-482. doi: 10.7518/hxkq.2016.05.009.
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