带蒂背阔肌肌皮瓣在头颈部重建中的应用

The pedicled latissimus dorsi myocutaneous flap in head and neck reconstruction.

作者信息

Ong Hui Shan, Ji Tong, Zhang Chen Ping

机构信息

Department of Oral Maxillofacial-Head & Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University, 639 Zhi Zao Ju Road, Shanghai 200011, China.

出版信息

Oral Maxillofac Surg Clin North Am. 2014 Aug;26(3):427-34. doi: 10.1016/j.coms.2014.05.011. Epub 2014 Jun 21.

DOI:10.1016/j.coms.2014.05.011

PMID:24958381

Abstract

The pedicled latissimus dorsi myocutaneous flap (PLDMF) is not the first-line reconstructive option for most clinicians; however, when treating salvage patients or those with depleted neck vessels, the PLDMF provides a valuable armamentarium. Unlike the pectoralis major myocutaneous flap or the lower island trapezius flap, the PLDMF has greater versatility in soft tissue design and a longer arc of rotation. These advantages are of great importance in managing advanced reconstructive cases.

摘要

带蒂背阔肌肌皮瓣（PLDMF）并非大多数临床医生的一线重建选择；然而，在治疗挽救性患者或颈部血管受损的患者时，PLDMF提供了一种有价值的手段。与胸大肌肌皮瓣或下岛状斜方肌瓣不同，PLDMF在软组织设计方面具有更大的通用性和更长的旋转弧。这些优势在处理复杂的重建病例时非常重要。