Holt David E, Runge Jeffrey
Department of Clinical Studies, University of Pennsylvania School of Veterinary Medicine, 3900 Delancey Street, Philadelphia, PA 19104, USA.
Vet Surg. 2011 Apr;40(3):352-6. doi: 10.1111/j.1532-950X.2011.00790.x. Epub 2011 Feb 11.
To describe preoperative use of skin stretchers to elongate a peninsular thoracodorsal axial pattern flap to close a large antebrachial wound on a dog.
Case report.
A 21 kg, 7-year-old, male intact mixed breed dog.
Two skin stretchers were applied to the site of the thoracodorsal axial pattern flap 4 days before surgery. The elastic cables connecting the adhesive pads were tightened daily to increase the skin available for a peninsular thoracodorsal axial pattern flap, which was created and rotated 180° to cover an antebrachial defect to a level 2 cm proximal to the carpus.
The entire flap survived; there was a small amount of incisional separation at the distal margin of the flap that healed without further treatment.
Preoperative skin stretching provided additional skin for the axial pattern flap used.
描述术前使用皮肤扩张器延长半岛状胸背轴型皮瓣以闭合犬前臂大面积伤口的情况。
病例报告。
一只21千克、7岁、雄性未绝育的混种犬。
在手术前4天，将两个皮肤扩张器应用于胸背轴型皮瓣部位。每天收紧连接粘贴垫的弹性缆线，以增加可用于半岛状胸背轴型皮瓣的皮肤量，制作该皮瓣并将其旋转180°以覆盖腕关节近端2厘米处的前臂缺损。
整个皮瓣存活；皮瓣远端边缘有少量切口分离，未经进一步治疗即愈合。
术前皮肤扩张为所用的轴型皮瓣提供了额外的皮肤。
