Service of Plastic and Reconstructive Surgery, University Hospital of Salamanca, Spain.
J Plast Reconstr Aesthet Surg. 2012 May;65(5):681-3. doi: 10.1016/j.bjps.2011.09.039. Epub 2011 Oct 19.
Contractures secondary to burns affecting the perineum often cause severe functional, aesthetic and psychological harm. Many different surgical techniques are used to treat such conditions ranging from grafts, to triangular plasty transposition or advancement flaps of local tissue. It is usually advisable to use a flap or local perineoplasty because the quality of reconstruction tends to be better and the risk of reoccurrence of the contracture is lower. The pudendal thigh fasciocutaneous (PTF) flap is an axial patterned and sensate flap based on the groin crease. It has frequently been used for perineal and vaginal reconstructions. Technically, it is not difficult to perform, with a well tolerated scar located in the inguinal crease, and it is characterized by its thinness and its ready adaptation to the defects, and because it maintains sensitivity. To the best of our knowledge, no previous case of perineal contracture treatment has been reported with the use of a PTF flap harvested as an YV advanced flap. Here we report the case of a patient with a severe contracture who was treated using the flap described above, a satisfactory result being achieved.
烧伤导致的会阴挛缩常导致严重的功能、美观和心理损害。许多不同的手术技术被用于治疗这种情况，包括移植物、三角形整形术或局部组织的推进皮瓣。通常建议使用皮瓣或局部会阴成形术，因为重建的质量往往更好，挛缩复发的风险更低。阴部股部筋膜皮瓣（PTF）是一种基于腹股沟皱褶的轴形图案和感觉皮瓣。它经常被用于会阴和阴道重建。从技术上讲，它并不难操作，其位于腹股沟皱褶的疤痕耐受性良好，其特点是薄而易于适应缺陷，并且保持敏感性。据我们所知，以前没有使用 YV 推进皮瓣采集的 PTF 皮瓣治疗会阴挛缩的病例报告。在这里，我们报告了一例严重挛缩患者的病例，使用了上述皮瓣进行治疗，取得了满意的效果。
