Liu Yuanbo, Zang Mengqing, Zhu Shan, Chen Bo, Ding Qiang
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):99-108. doi: 10.1016/j.cps.2016.08.003. Epub 2016 Oct 4.
The paraumbilical perforator flap is the first and the most famous perforator flap. Pre-expansion increases the flap dimension and reduces the flap thickness and donor site morbidities, making the paraumbilical perforator flap a more effective option for upper extremity reconstruction. Pre-expanded pedicled paraumbilical perforator flaps can achieve excellent function and aesthetic outcomes in patients with extensive scar contracture and giant melanocytic nevi in the upper extremity. Although this technique requires multiple procures, each operation is relatively simple and has a low complication rate, when properly planned and performed.
脐旁穿支皮瓣是首个也是最著名的穿支皮瓣。预扩张可增加皮瓣尺寸，减小皮瓣厚度并降低供区并发症，使脐旁穿支皮瓣成为上肢重建更有效的选择。对于上肢广泛瘢痕挛缩和巨大黑素细胞痣患者，预扩张带蒂脐旁穿支皮瓣可实现优异的功能和美学效果。尽管该技术需要多次手术，但如果规划和实施得当，每次手术相对简单且并发症发生率低。
