D'Arpa Salvatore, Colebunders Britt, Stillaert Filip, Monstrey Stan
Department of Plastic and Reconstructive Surgery, Ghent University Hospital, De Pintelaan, 185, K12C, Gent 9000, Belgium.
Department of Plastic and Reconstructive Surgery, Ghent University Hospital, De Pintelaan, 185, K12C, Gent 9000, Belgium.
Clin Plast Surg. 2017 Jan;44(1):129-141. doi: 10.1016/j.cps.2016.08.004. Epub 2016 Oct 2.
The anterolateral thigh (ALT) perforator flap for phalloplasty is gaining popularity because it avoids the well-known scars of the radial forearm flap. However, scars are not eliminated, just moved to a different location, the thigh, that can for some patients be of great sexual value. Preexpansion of the ALT flap allows primary donor site closure, thus avoiding not only the unsightly appearance of a skin grafted ALT donor site, but also the skin graft donor site scar. Preoperative perforator location by means of computed tomography angiography allows safe expander placement through 2 small remote incisions.
用于阴茎成形术的股前外侧（ALT）穿支皮瓣越来越受欢迎，因为它避免了桡骨前臂皮瓣众所周知的瘢痕。然而，瘢痕并没有消除，只是转移到了另一个部位——大腿，而大腿对一些患者来说可能具有很大的性价值。ALT皮瓣的预扩张允许一期关闭供区，从而不仅避免了ALT供区植皮后难看的外观，也避免了植皮供区的瘢痕。通过计算机断层血管造影术术前定位穿支，可通过2个小的远位切口安全放置扩张器。
