Mohos Gabor, Vass Gabor, Kemeny Lajos, Jori Jozsef, Ivan Laszlo
Department of Dermatology and Allergology, University of Szeged, Szeged, Hungary.
J Plast Surg Hand Surg. 2013 Feb;47(1):70-2. doi: 10.3109/2000656X.2012.713575. Epub 2012 Nov 29.
Defects of the skin and underlying soft tissue of the neck are uncommon, and the surgeon's main objective is to achieve reliable long-term coverage of the exposed vital organs with well-vascularised tissue harvested from a distant donor site. We present a patient whose extended irradiation site together with the previous unsuccessful attempt to cover it with a latissimus dorsi myocutaneous flap, needed an extended lower trapezius myocutaneous flap, which seemed to be the only way in which to close the large and deep cervical defect.
颈部皮肤及深层软组织缺损并不常见，外科医生的主要目标是用取自远处供区的血运良好的组织，实现对暴露的重要器官的可靠长期覆盖。我们报告一例患者，其放疗范围扩大，且之前尝试用背阔肌肌皮瓣覆盖失败，需要采用扩大的下斜方肌肌皮瓣，这似乎是闭合巨大且深在的颈部缺损的唯一方法。
