Pallua Norbert, Kim Bong-Sung
Department of Plastic and Reconstructive Surgery, Hand Surgery - Burn Center, University Hospital of the RWTH Aachen, Pauwelsstrasse 30, Aachen 52074, Germany.
Department of Plastic and Reconstructive Surgery, Hand Surgery - Burn Center, University Hospital of the RWTH Aachen, Pauwelsstrasse 30, Aachen 52074, Germany.
Clin Plast Surg. 2017 Jan;44(1):49-63. doi: 10.1016/j.cps.2016.08.005. Epub 2016 Oct 15.
The supraclavicular artery perforator (SAP) flap is a versatile flap for the reconstruction of head and neck defects. Recently, the authors have modified the SAP flap by using an anterior branch of the transverse cervical artery. The anterior SAP flap allows the harvest of a tissue island in the deltopectoral fossa, which is even thinner, is more pliable, and shows a superior color match to the face and neck compared with the original SAP flap. Pre-expansion increases flap size considerably, enabling the coverage of extended defects without the need of microsurgery.
锁骨上动脉穿支（SAP）皮瓣是用于头颈部缺损重建的多功能皮瓣。最近，作者通过使用颈横动脉的前支对SAP皮瓣进行了改良。前SAP皮瓣可在三角胸肌间沟获取一个组织岛，该组织岛更薄、更柔韧，与原始SAP皮瓣相比，与面部和颈部的颜色匹配度更高。预扩张可显著增加皮瓣面积，无需显微外科手术即可覆盖更大的缺损。
