Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai 200011, PR China.
Burns. 2012 Sep;38(6):924-30. doi: 10.1016/j.burns.2012.01.001. Epub 2012 Feb 21.
Supraclavicular flaps had been widely used as pedicled flaps to reconstruct face and neck defects. However, the size of this traditional flap was limited even after expansion. In this study, we present a flap pedicled by the thoracic branch of supraclavicular artery (TBSA). The flap is located at the subclavicular region, and has the advantage of large dimension, matching colour and thin thickness.
In this series, 24 patients with ages ranging between 3 and 49 years (30 flaps with six patients in bilateral fashion) were treated in the authors' institution.
The maximum size of the flap was 25 cm × 25 cm, whereas the minimum size was 15 cm × 10 cm. The average size of the flaps was 241.1 ± 95.7 cm(2). Twenty-six flaps (86.7%) survived completely. Total flap loss was seen in one patient (3.3%) and was treated with reverse harvesting skin graft. Partial flap necrosis occurred in three flaps (10.0%). Through a mean time of 10-month follow-up, the colour and the texture of the flaps matched with the recipient area. No conspicuous flap contracture was observed.
This expanded subclavicular flap pedicled by the TBSA has proved to be a promising method with satisfactory outcome and high success rate.
锁骨上皮瓣已被广泛用作带蒂皮瓣来重建面颈部缺损。然而，即使经过扩张，这种传统皮瓣的尺寸仍然有限。在本研究中，我们提出了一种由锁骨上动脉胸支（TBSA）为蒂的皮瓣。该皮瓣位于锁骨下区域，具有尺寸大、颜色匹配和厚度薄的优点。
在这一系列研究中，作者所在机构共治疗了 24 名年龄在 3 至 49 岁之间的患者（6 名患者双侧共 30 个皮瓣）。
皮瓣最大尺寸为 25 cm×25 cm，最小尺寸为 15 cm×10 cm。皮瓣的平均尺寸为 241.1±95.7 cm(2)。26 个皮瓣（86.7%）完全存活。1 名患者（3.3%）出现全层皮瓣坏死，采用逆行取皮移植治疗。3 个皮瓣（10.0%）发生部分皮瓣坏死。经平均 10 个月的随访，皮瓣的颜色和质地与受区相匹配，未观察到明显的皮瓣挛缩。
这种由 TBSA 为蒂的扩张锁骨下皮瓣已被证明是一种有前途的方法，具有满意的效果和高成功率。
