Shenaq S M, Dinh T A
Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas 77030.
J Reconstr Microsurg. 1989 Jul;5(3):245-8. doi: 10.1055/s-2007-1006874.
The use of cutaneous or musculocutaneous flaps for total phalloplasty requires the lack of hairy skin; otherwise urethral strictures most likely will occur. A case of simultaneous total penile and urethral reconstruction using an expanded lateral arm sensory free flap is presented. The use of an expander in a small area of hairless skin on the lateral arm results in a free flap of sufficient size. This procedure proves to be a useful addition to the reconstructive armamentarium in dealing with similar challenging cases of penile reconstruction.
使用皮瓣或肌皮瓣进行全阴茎再造术需要无毛皮肤；否则很可能会发生尿道狭窄。本文介绍了一例使用扩张后的外侧臂感觉游离皮瓣同时进行全阴茎和尿道重建的病例。在外侧臂无毛皮肤的小区域使用扩张器可形成足够大小的游离皮瓣。该手术被证明是处理类似具有挑战性的阴茎重建病例时重建手段的有益补充。
