Singer J B, Gulin S P, Needham C W
Section of Plastic Surgery Norwalk Hospital.
Conn Med. 1990 Feb;54(2):56-8.
The authors present a patient who had postradiation necrosis of the skull and scalp measuring over 300 cm square which was reconstructed with a free latissimus dorsi muscle flap with overlying skin grafts. The procedure was performed in a community hospital with a team comprising two plastic surgeons and a neurosurgeon, with backup from physicians assistants and nursing staff. The successful outcome of this procedure was a direct result of the concerted effort of the surgical team. We believe that microvascular free-flap reconstruction, although a complicated procedure, can be performed at the community hospital as long as appropriate measures for the care of the patient are planned and carried out.
作者介绍了一名患者，其颅骨和头皮放疗后坏死面积超过300平方厘米，采用背阔肌游离肌皮瓣覆盖皮肤移植进行重建。该手术在一家社区医院进行，手术团队由两名整形外科医生和一名神经外科医生组成，医师助理和护理人员提供支持。这一手术的成功结果是手术团队共同努力的直接成果。我们认为，微血管游离皮瓣重建术虽然是一个复杂的手术，但只要为患者的护理制定并实施适当的措施，在社区医院也可以进行。
