Balakrishnan Chenicheri, Hackenson David, Balakrishnan Anila, Elliott David, Careaga Daniel
Division of Plastic Surgery, Wayne State University, Detroit, Michigan, USA.
Can J Plast Surg. 2012 Fall;20(3):e37-9.
An important alternative to free tissue transfer in patients requiring correction of soft tissue chin defects are local and regional flaps, such as the pectoralis major myocutaneous flap and deltopectoral flap. With predictable vascular supply, potential for large size, and good aesthetic match for facial and cervical skin, the deltopectoral flap can offer the reconstructive surgeon additional options in patients who lack vessels suitable for free tissue transfer. The use of an expanded deltopectoral flap for a staged reconstruction of the chin in a patient with cancer recurrences, concomitant resections, radiation and multiple reconstructions is reported.
对于需要矫正软组织颏部缺损的患者，游离组织移植的一种重要替代方法是局部和区域皮瓣，如胸大肌肌皮瓣和三角胸皮瓣。三角胸皮瓣具有可预测的血供、较大尺寸的潜力以及与面部和颈部皮肤良好的美学匹配度，对于缺乏适合游离组织移植血管的患者，可为重建外科医生提供更多选择。本文报道了在一名患有癌症复发、同时进行切除、放疗和多次重建的患者中，使用扩张三角胸皮瓣进行分期颏部重建的情况。
