Kubo Tateki, Osaki Yoko, Hattori Ryo, Kanazawa Shigeyuki, Hosokawa Ko
Department of Plastic Surgery, Osaka Rosai Hospital, Kita-ku, Sakai, Japan.
J Plast Surg Hand Surg. 2013 Feb;47(1):46-9. doi: 10.3109/2000656X.2012.730487.
Reconstruction of the through-and-through defects of the oral cavity, involving oral mucosa, bone, and external skin is a major challenge. A single fibula osteocutaneous flap providing two skin islands is an option for such composite reconstruction. The number, location, and size of skin perforators were studied in the distal two thirds of the lower legs in 22 cases of fibula osteocutaneous flap mandibular reconstruction, and whether the skin paddle of the fibula flap could always be divided completely based on two distal perforators was examined. In this study, only 50% of the flaps had two or more distal perforators; thus, it was concluded that the skin paddle of the fibula osteocutaneous flap could not always be divided based on two distal skin perforators.
口腔贯通性缺损的重建，涉及口腔黏膜、骨骼和外部皮肤，是一项重大挑战。采用带有两个皮岛的单块腓骨骨皮瓣是进行此类复合重建的一种选择。在22例腓骨骨皮瓣下颌骨重建病例中，对小腿远端三分之二区域的皮肤穿支数量、位置和大小进行了研究，并探讨了腓骨瓣的皮瓣是否总能基于两个远端穿支完全分开。在本研究中，只有50%的皮瓣有两个或更多的远端穿支；因此，得出结论，腓骨骨皮瓣的皮瓣不能总是基于两个远端皮肤穿支进行分割。
