Kulahci Yalcin, Sahin Cihan, Karagoz Huseyin, Zor Fatih
Department of Hand and Upper Extremity Surgery, Gulhane Military Medical Academy, General Dr Tevfik Saglam Cad, Etlik 06010, Ankara, Turkey.
Department of Plastic and Reconstructive Surgery, Haydarpasa Training Hospital, Gulhane Military Medical Academy, Tibbiye Caddesi, Üsküdar 34668, Istanbul, Turkey.
Clin Plast Surg. 2017 Jan;44(1):91-97. doi: 10.1016/j.cps.2016.08.010. Epub 2016 Oct 6.
The size of the thoracodorsal artery perforator (TDAP) flap or pedicle, in general, may be found to be inadequate. Pre-expansion of the flap before harvest can be a solution to increase the size of the TDAP flap in such instances. The pre-expanded TDAP flap can be used to reconstruct large-sized defects with the advantage of primary closure of the donor site. This article presents details on the surgical technique and provides discussion of the authors' experiences.
一般来说，胸背动脉穿支（TDAP）皮瓣或蒂的尺寸可能会被发现不足。在这种情况下，在切取皮瓣前进行预扩张可以作为增加TDAP皮瓣尺寸的一种解决方案。预扩张的TDAP皮瓣可用于修复大面积缺损，其优点是供区能够一期缝合。本文详细介绍了手术技术，并讨论了作者的经验。
