双侧背阔肌皮瓣用于大面积头皮缺损的重建。
Bilateral latissimus dorsi flaps for the reconstruction of extensive scalp defects.
作者信息
Zhong T, Gullane Pj, Neligan Pc
机构信息
Wharton Head and Neck Program, Princess Margaret Hospital, University Health Network, University of Toronto, Toronto, Ontario.
出版信息
Can J Plast Surg. 2003 Summer;11(2):79-82. doi: 10.1177/229255030301100201.
BACKGROUND
The reconstruction of large scalp defects is occasionally required. Several methods of scalp reconstruction have previously been described. This paper presents the authors' experience with two patients in whom traditional methods were not sufficient and in whom bilateral latissimus dorsi free flaps were required.
OBJECTIVES
To evaluate the effectiveness of a new technique in reconstructing extensive scalp defects.
METHODS
Two case histories are presented. These include the rationale for the choice of reconstruction used as well as a discussion on the technical features of the surgery.
RESULTS
Reconstruction was effective in both cases. However, one patient died in the early postoperative period from a pulmonary embolus.
CONCLUSIONS
Bilateral latissimus flaps can be safely and effectively used in closing massive scalp defects in selected cases.
背景
大的头皮缺损有时需要进行修复。此前已经描述了几种头皮修复方法。本文介绍了作者对两名患者的治疗经验，这两名患者采用传统方法修复不足，需要使用双侧背阔肌游离皮瓣。
目的
评估一种新技术修复大面积头皮缺损的有效性。
方法
介绍了两个病例。包括选择修复方法的理由以及手术技术特点的讨论。
结果
两例修复均有效。然而，一名患者术后早期死于肺栓塞。
结论
在特定病例中，双侧背阔肌皮瓣可安全有效地用于闭合大面积头皮缺损。
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