Mayer B, Steffen R, Draf W, Nassif T M
HNO-Klinik, Universitätsklinikum Rudolf Virchow, Standort Charlottenburg der Freien Universität Berlin.
HNO. 1991 Apr;39(4):129-33.
Many microsurgical free flaps have been described to tackle various problems in the head and neck. The authors present a system of indications which has proved to be suitable as judged by the functional and cosmetic results obtained. The harvesting of these flaps requires versatile training in surgical techniques for the different anatomical areas. This system of indications comprises the free fasciocutaneous forearm flap, jejunal loops, the fasciocutaneous parascapular flap, iliac crest flaps with vascularized bone and the parascapular cutaneous, latissimus dorsi osteomyocutaneous double flap.
为解决头颈部的各种问题,人们已描述了多种显微外科游离皮瓣。作者提出了一套适应证体系,从所获得的功能和美容效果来看,该体系已被证明是合适的。采集这些皮瓣需要针对不同解剖区域进行多种外科技术的训练。这套适应证体系包括游离前臂筋膜皮瓣、空肠袢、肩胛旁筋膜皮瓣、带血管化骨的髂嵴皮瓣以及肩胛旁皮瓣、背阔肌骨肌皮双瓣。