Robson M C, Zachary L S, Schmidt D R, Faibisoff B, Hekmatpanah J
Division of Plastic Surgery, University of Texas, Galveston.
Plast Reconstr Surg. 1989 Mar;83(3):438-42. doi: 10.1097/00006534-198903000-00004.
Six cases of large defects of the scalp, skull, and dura following tumor ablation and radiation are presented. Each was accompanied by chronic infection in the irradiated defect. Efforts to reconstruct the resulting defects with local flaps were not successful. One-stage reconstruction was then accomplished in each case utilizing a latissimus dorsi musculocutaneous or myo-osteocutaneous free flap transferred by microvascular anastomoses. The versatility of the latissimus dorsi musculocutaneous and/or osseous flap allows single-stage reconstruction of these complex defects.
本文介绍了6例肿瘤切除及放疗后头皮、颅骨和硬脑膜出现大面积缺损的病例。每例均伴有放疗后缺损处的慢性感染。试图用局部皮瓣修复由此产生的缺损未获成功。随后，对每例患者采用背阔肌肌皮瓣或骨肌皮游离瓣通过微血管吻合进行转移，完成了一期修复。背阔肌肌皮瓣和/或骨瓣的多功能性使得这些复杂缺损能够一期修复。
