Division of Plastic and Reconstructive Surgery, Shizuoka Cancer Center Hospital, 1007 Shimonagakubo, Naga-izumi, Shizuoka 411-8777, Japan.
J Plast Reconstr Aesthet Surg. 2010 Jun;63(6):e543-6. doi: 10.1016/j.bjps.2009.11.017. Epub 2010 Jan 18.
We report the case of a 39-year-old man with a dermatofibrosarcoma protuberans (DFSP) on the right shoulder. A wide surgical excision of the tumour was performed, creating a 12-cm-wide defect. An anterolateral thigh flap created from two semicircular skin paddles was harvested and the two skin paddles were slid towards each other to cover the circular defect. The sliding technique is a useful design that preserves the suprafascial plexus and enables a single perforator to supply two split-skin paddles. Using this design, the donor site can be closed primarily without requiring a skin graft. This technique can be applied to other free flaps to reconstruct wide defects after the resection of cancers.
我们报告了一例 39 岁男性患者，其右肩部患有隆突性皮肤纤维肉瘤（DFSP）。对肿瘤进行了广泛的手术切除，形成了 12cm 宽的缺损。从两个半圆形皮瓣中采集了前外侧大腿皮瓣，并将两个皮瓣相互滑动以覆盖圆形缺损。滑动技术是一种有用的设计，可保留筋膜上丛，并使单个穿支为两个劈开皮瓣提供供血。使用这种设计，供区可以直接关闭，而无需植皮。该技术可应用于其他游离皮瓣，以在切除癌症后重建大面积缺损。
