Dept. of Plastic Surgery, University Hospital of North Durham, Durham, UK.
J Plast Reconstr Aesthet Surg. 2013 Apr;66(4):483-8. doi: 10.1016/j.bjps.2012.11.027. Epub 2012 Dec 7.
For small to moderate-sized defects in the head and neck region, local flaps have been the mainstay of reconstruction for years. However, in certain instances, additional flap translation is required be it advancement, transposition or rotation. In such cases, the local flap concept is combined with perforator flap know-how, allowing larger loco-regional flaps to be raised to reconstruct relatively larger defects, even in cosmetically-expensive areas. In our cohort of fifteen patients', we have utilised detailed microanatomy of the facial artery perforators to reconstruct such defects with good results.
对于头颈部的小到中等大小的缺陷，局部皮瓣多年来一直是重建的主要方法。然而，在某些情况下，需要进行额外的皮瓣转移，无论是推进、转位还是旋转。在这种情况下，局部皮瓣的概念与穿支皮瓣的专业知识相结合，允许更大的局部皮瓣被提升以重建相对较大的缺陷，即使在美容昂贵的区域也是如此。在我们的十五名患者队列中，我们利用了面动脉穿支的详细微血管解剖来重建这些缺陷，取得了良好的效果。
