Nayak Bibhuti B, Nilamani Mohanty
Department of Plastic Surgery, S.C.B. Medical College, Cuttack, Orissa, India.
Indian J Plast Surg. 2012 Jan;45(1):151-3. doi: 10.4103/0970-0358.96611.
Even though free tissue transfers are a routine in many centres, pedicle flaps still have a huge roll to play in our country. There are many centres in the country where pedicle flaps are in use because of logistic problems. Deltopectoral and pectoralis muscle flaps are usually preferred for composite cheek defects. When both these flaps are used in combination it is a two-staged procedure. We describe a single-stage procedure to reconstruct a composite cheek defect with pectoralis major myocutaneous flap for lining and single-stage deltopectoral flap for cover. In the available literature search, single-stage DP and PMMC have not been described for management of composite cheek defect.
尽管游离组织移植在许多中心已成为常规操作，但带蒂皮瓣在我国仍有巨大的应用价值。由于后勤保障问题，国内有许多中心仍在使用带蒂皮瓣。对于复合性颊部缺损，通常首选三角胸皮瓣和胸大肌皮瓣。当联合使用这两种皮瓣时，是一种两阶段手术。我们描述了一种单阶段手术方法，即采用胸大肌肌皮瓣作为衬里、单阶段三角胸皮瓣作为覆盖来修复复合性颊部缺损。在现有的文献检索中，尚未有关于采用单阶段三角胸皮瓣和胸大肌肌皮瓣治疗复合性颊部缺损的报道。
