Wang Chunmei, Yang Sifen, Zhang Jing, Yan Lun, Song Ping, Hyakusoku Hiko, Pu Lee L Q
Department of Plastic and Aesthetic Surgery, Dongguan Kanghua Hospital, 1000 Donguan Avenue, Dongguan, Guangdong Province 523080, P.R. China.
Department of Plastic and Aesthetic Surgery, Dongguan Kanghua Hospital, 1000 Donguan Avenue, Dongguan, Guangdong Province 523080, P.R. China.
Clin Plast Surg. 2017 Jan;44(1):1-11. doi: 10.1016/j.cps.2016.09.008.
Pre-expanded perforator flaps, a combination of tissue expansion with perforator flaps, are emerging as another landmark of plastic surgery. This flap inherits the characteristics of both perforator flaps and expanded flaps, making it a highly versatile option in reconstructive surgery. However, the definition of the pre-expanded perforator flap and the impact of pre-expansion on the superficial angio-architecture remain controversial. In this article, the authors review current concepts including the mechanism of expansion and the resultant changes in the angio-architecture. The authors also review the previous studies and classifications of pre-expanded perforator flaps.
预扩张穿支皮瓣，即组织扩张与穿支皮瓣相结合的产物，正成为整形手术的又一里程碑。这种皮瓣继承了穿支皮瓣和扩张皮瓣的特点，使其成为重建手术中一种用途广泛的选择。然而，预扩张穿支皮瓣的定义以及预扩张对浅部血管结构的影响仍存在争议。在本文中，作者回顾了当前的概念，包括扩张机制以及血管结构由此产生的变化。作者还回顾了以往关于预扩张穿支皮瓣的研究和分类。
