Hallock Geoffrey G
Division of Plastic Surgery, The Lehigh Valley Hospitals, Allentown, Pennsylvania, USA.
Can J Plast Surg. 2003 Winter;11(4):216-8. doi: 10.1177/229255030301100405.
Successful obliteration of an empyema cavity with vascularized flaps can, on occasion, best be accomplished using a free tissue transfer. A conjoint free muscle flap captures the immunological attributes of muscle necessary in the infectious milieu of these defects, augments the potential flap volume required to fill these often large defects, yet relies on only a single recipient site for the requisite microanastomoses. These advantages are demonstrated by a case using a combined latissimus dorsi/serratus anterior conjoint muscle free flap to obliterate a chronic upper thoracic empyema cavity. The internal mammary vessels were the most readily accessible recipient site, and should be considered an important alternative when managing these challenging wounds of the upper chest.
有时，采用带血管蒂皮瓣成功消除脓腔，最好通过游离组织移植来实现。联合游离肌皮瓣具备在这些缺损感染环境中所需肌肉的免疫特性，增加了填充这些通常较大缺损所需的皮瓣潜在体积，但仅需一个供吻合的受区部位。采用背阔肌/前锯肌联合游离肌皮瓣消除慢性上胸段脓腔的病例证明了这些优势。胸廓内血管是最容易利用的受区部位，在处理上胸部这些具有挑战性的伤口时应被视为重要的替代选择。
