Sharma Mohit, Balasubramanian Deepak, Thankappan Krishnakumar, Sampathirao Chandrasekhararao Leelamohan, Mathew Jimmy, Chavre Sachin, Iyer Subramania
Department of Plastic Surgery and Head and Neck Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Ann Plast Surg. 2013 Jul;71(1):76-9. doi: 10.1097/SAP.0b013e318248b813.
The free fibula is a versatile and commonly used free flap in microvascular reconstruction. It allows for reconstruction of both bone and soft tissue defects. In head and neck reconstruction, the skin paddle harvested along with the flap allows for the reconstruction of skin or oral mucosal defects. After skin paddle harvest, the donor site can be closed primarily or with skin grafts. Grafting the donor area is the common method used. However, this could lead to delayed healing because of the poor graft over the area of peroneal tendons. Propeller flaps have been extensively reported for closure of leg skin defects. We report a series of 10 patients in whom we used a local propeller flap for the closure of the fibula flap skin donor site. The donor defects could be satisfactorily closed without the need of a skin graft in 9 patients. This method is simple, reliable, and suitable for closing small to medium defects.
游离腓骨是微血管重建中一种用途广泛且常用的游离皮瓣。它可用于修复骨和软组织缺损。在头颈部重建中，与皮瓣一起切取的皮岛可用于修复皮肤或口腔黏膜缺损。切取皮岛后，供区可直接缝合或植皮。植皮是常用的方法。然而，由于腓骨肌腱区域植皮效果不佳，这可能导致愈合延迟。推进皮瓣已被广泛报道用于闭合腿部皮肤缺损。我们报告了一组10例患者，我们使用局部推进皮瓣来闭合腓骨皮瓣供区皮肤缺损。9例患者的供区缺损无需植皮即可满意闭合。该方法简单、可靠，适用于闭合中小面积缺损。
