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锁骨上动脉岛状皮瓣和斜方肌肌皮瓣在头颈部重建中的应用

The supraclavicular artery island and trapezius myocutaneous flaps in head and neck reconstruction.

作者信息

Ramirez Carlos A, Fernandes Rui P

机构信息

Division of Oral and Maxillofacial Surgery, Center for Head and Neck, Maxillofacial & Reconstructive Surgery, St. John Providence Health System, 11900 East 12 Mile Road, Suite 308, Warren, MI 48093, USA.

Department of Oral and Maxillofacial Surgery, College of Medicine, University of Florida, 653-1 West Eighth Street, LRC 2nd Floor, Jacksonville, FL 32209, USA; Division of Surgical Oncology, Department of Surgery, College of Medicine, University of Florida, 653-1 West Eighth Street, LRC 2nd Floor, Jacksonville, FL 32209, USA.

出版信息

Oral Maxillofac Surg Clin North Am. 2014 Aug;26(3):411-20. doi: 10.1016/j.coms.2014.05.009. Epub 2014 Jun 26.

Abstract

The supraclavicular artery island flap can be readily used to reconstruct defects within the neck, parotid, lateral temporal region, and lower third of the face. Benefits of the supraclavicular flap include good color and texture match, an ease of harvest, and minimal donor site morbidity; there is also no significant post-operative monitoring required. The trapezius muscle serves as a source for multiple myocutaneous flaps of which most are considered to be salvage flaps among head and neck reconstructive surgeons.

摘要

锁骨上动脉岛状皮瓣可很容易地用于修复颈部、腮腺、颞外侧区域及面部下三分之一的缺损。锁骨上皮瓣的优点包括颜色和质地匹配良好、易于切取且供区并发症极少;术后也无需进行大量监测。斜方肌是多种肌皮瓣的供区,在头颈重建外科医生中,其中大多数被视为挽救性皮瓣。

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