Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, CA, USA.
J Plast Reconstr Aesthet Surg. 2013 Apr;66(4):570-3. doi: 10.1016/j.bjps.2012.08.026. Epub 2012 Sep 14.
Penile burns are devastating injuries and are frequently associated with significant functional and psychological sequelae. The goals of penile reconstruction after burn injury include: 1) skin coverage, 2) preservation of penile length, sensation and erectile function, 3) esthetic integrity, and 4) permissive for penile growth in the pediatric patient. A multitude of different techniques have been proposed, including skin grafts, local, regional, and free flaps, each of which fail to address all goals of reconstruction. We introduce the foreskin advancement flap that, when available, successfully addresses these key challenges and as such provides for an ideal reconstruction.
阴茎烧伤是毁灭性的损伤，常伴有严重的功能和心理后遗症。烧伤后阴茎重建的目标包括：1）皮肤覆盖，2）保持阴茎长度、感觉和勃起功能，3）美学完整性，4）允许儿童患者阴茎生长。已经提出了多种不同的技术，包括皮片移植、局部、区域性和游离皮瓣，每种技术都无法满足重建的所有目标。我们介绍了包皮推进皮瓣，如果有，可以成功解决这些关键挑战，因此是一种理想的重建方法。
