Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100144, China.
Aesthetic Plast Surg. 2011 Dec;35(6):946-52. doi: 10.1007/s00266-011-9709-9. Epub 2011 Apr 1.
This article aims to describe the application of the preexpanded pedicle medial arm flap in facial reconstruction and the authors' experiences solving the problems that appeared during the whole reconstruction procedure.
A tissue expander was placed in the medial arm region and serially inflated for approximately 3 months. Then, the preexpanded flap was prepared as a tube flap and transferred to the face. The pedicle was divided 3 weeks later, and the flap was used to resurface the facial defect.
Since 2005, the preexpanded pedicle medial arm flap has been used in face reconstruction for 9 patients ranging in age from 9 to 31 years. There were no perioperative complications or flap loss. The donor sites all were closed directly. In the authors' experience, a flap as large as 10 × 20 cm could be raised and safely transferred without flap necrosis.
The results indicate that the application of the preexpanded pedicle medial arm flap can be one option for reconstruction of massive facial defects.
本文旨在描述预扩张皮瓣在面部重建中的应用，并介绍作者在整个重建过程中解决问题的经验。
在臂内侧区域放置组织扩张器，大约扩张 3 个月。然后，将预扩张皮瓣制备成管状皮瓣并转移到面部。3 周后分离蒂部，用皮瓣覆盖面部缺损。
自 2005 年以来，我们使用预扩张带蒂臂内侧皮瓣对 9 例年龄 9-31 岁的患者进行了面部重建。无围手术期并发症或皮瓣坏死。供区均直接闭合。根据我们的经验，可安全地转移面积达 10×20cm 的皮瓣，且无皮瓣坏死。
结果表明，预扩张带蒂臂内侧皮瓣的应用可为大面积面部缺损的重建提供一种选择。
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