Kruse Astrid L, Luebbers Heinz T, Grätz Klaus W, Bredell Marius
Department of Craniomaxillofacial and Oral Surgery, University Hospital Zurich, Frauenklinikstr. 24, 8091, Zurich, Switzerland.
Oral Maxillofac Surg. 2011 Dec;15(4):251-2. doi: 10.1007/s10006-010-0245-6. Epub 2010 Aug 4.
Although free flaps are reliable for head and neck reconstructions, the pectoralis major flap (PMF) is still often used. In cases of a large PMF, the closure of the donor side can be a challenge.
A technique, originally developed for the treatment and prevention of abdominal ruptures after laparotomy, is presented as an alternative for closure of large donor side defects.
The use of Ventrofil® is an additional option for large donor side defects and especially to bridge the period of postoperative swelling. If utilized special attention must be paid to possible pressure necrosis of the underlying skin.
尽管游离皮瓣对头颈部重建可靠，但胸大肌皮瓣（PMF）仍经常被使用。对于大面积胸大肌皮瓣，供区的关闭可能是一项挑战。
介绍一种最初为治疗和预防剖腹术后腹部破裂而开发的技术，作为关闭大面积供区缺损的替代方法。
使用Ventrofil®是处理大面积供区缺损的另一种选择，特别是在术后肿胀期起到桥接作用。使用时必须特别注意其下方皮肤可能出现的压迫性坏死。
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