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应用肋间外侧动脉穿支蒂的胸背动脉逆行岛状皮瓣治疗肘前烧伤挛缩。

Use of the lateral intercostal artery perforator-based pedicled reverse thoraco-abdominal flap for treatment of antecubital burn contractures.

机构信息

Maresal Cakmak Military Hospital, Department of Plastic and Reconstructive Surgery, Erzurum, Turkey.

出版信息

Burns. 2011 Feb;37(1):134-8. doi: 10.1016/j.burns.2010.03.010. Epub 2010 May 26.

DOI:10.1016/j.burns.2010.03.010
PMID:20537802
Abstract

We describe a lateral intercostal artery perforator-based pedicled reverse thoraco-abdominal flap for coverage of the antecubital fossa after burn scar release. In this study we describe raising and insetting the flap and reported our clinical results and observations. Antecubital contracture release was carried out in six patients, and the lateral intercostal artery perforator-based pedicled reverse thoraco-abdominal flap was raised based on the anterolateral cutaneous perforator of the appropriate intercostal artery. The defects were repaired with this flap. All the flaps survived and antecubital contractures were repaired successfully. No recurrent contracture occurred in any of the patients at a mean of 15.3 months. The lateral intercostal artery perforator-based pedicled reverse thoraco-abdominal flap can be used effectively for repair of antecubital tissue defects as an alternative to other reconstructive methods.

摘要

我们描述了一种基于肋间外侧动脉穿支的带蒂逆行胸腹皮瓣,用于覆盖烧伤后松解后的肘前窝。在这项研究中,我们描述了皮瓣的掀起和植入,并报告了我们的临床结果和观察结果。在 6 名患者中进行了肘前挛缩松解术,根据相应肋间动脉的前外侧皮穿支,掀起了基于肋间外侧动脉穿支的带蒂逆行胸腹皮瓣。用该皮瓣修复缺损。所有皮瓣均存活,肘前挛缩均成功修复。在平均 15.3 个月的随访中,没有患者出现复发性挛缩。基于肋间外侧动脉穿支的带蒂逆行胸腹皮瓣可作为其他重建方法的替代方法,有效地用于修复肘前组织缺损。

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