Liu Yuanbo, Zang Mengqing, Tang Maolin, Zhu Shan, Zhang Jianhua, Zhou Yu
Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Ba-Da-Chu Road 33#, Beijing 100144, P.R. China.
Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Ba-Da-Chu Road 33#, Beijing 100144, P.R. China.
Clin Plast Surg. 2017 Jan;44(1):117-128. doi: 10.1016/j.cps.2016.08.006. Epub 2016 Oct 4.
The medial upper arm flap is a time-honored yet ignored technique. It may be revitalized by combining the techniques of tissue expansion and perforator flap surgery. Pre-expansion increases flap dimension, remodels flap vasculature, and reduces donor site morbidities, making the medial arm flap a more effective option for various defect reconstructions. A pre-expanded brachial artery perforator flap achieves excellent functional and aesthetic outcomes in patients with soft tissue defects on the head and neck, axilla, chest wall, and upper extremity. Although this technique requires multiple procedures, each operation is relatively simple and has a low complication rate when properly performed.
上臂内侧皮瓣是一种历史悠久但被忽视的技术。通过结合组织扩张技术和穿支皮瓣手术，它可能会重获新生。预扩张可增加皮瓣尺寸，重塑皮瓣血管，并减少供区并发症，使上臂内侧皮瓣成为各种缺损修复更有效的选择。预扩张的肱动脉穿支皮瓣在头颈部、腋窝、胸壁和上肢软组织缺损患者中取得了优异的功能和美学效果。虽然这项技术需要多次手术，但每次手术相对简单，操作得当并发症发生率较低。
