Mutaf Mehmet, Temel Metin, Koç Mustafa Nihat
Division of Plastic Surgery, Bodrum Acıbadem Hospital, Muğla, Turkey.
Division of Plastic Surgery, Mustafa Kemal University, Hatay, Turkey.
Med Sci Monit. 2017 Feb 26;23:1033-1042. doi: 10.12659/msm.899879.
BACKGROUND We present a clinical experience with a new local flap procedure, namely the triangular closure technique, for reconstruction of sacrococcygeal skin defects resulting from excision of the pilonidal sinus. MATERIAL AND METHODS In this technique, the defect is surgically converted to a triangle in shape. Then, the triangular defect is closed by transposition of 2 skin flaps designed in an unequal z-plasty manner. Over 6 years, this technique has been used for closure of defects of chronic pilonidal sinus disease in 27 patients (6 females, 21 males). The size of the defect ranged between 3.5 cm and 12 cm in dimension. RESULTS A tension-free defect closure was obtained in all patients. All flaps except one healed with no complications. A mean follow-up of 3.62±1.77 months revealed aesthetically and functionally acceptable results with the obliteration of the natal cleft in all patients. No recurrence was observed in the follow-up period. CONCLUSIONS The triangular closure technique was found to be a useful technique for the treatment of pilonidal sinus with favorable results regarding the time before return to work.
背景 我们介绍一种新的局部皮瓣手术的临床经验，即三角形闭合技术，用于重建因藏毛窦切除导致的骶尾部皮肤缺损。材料与方法 在该技术中，手术将缺损转变为三角形。然后，通过以不等Z成形术方式设计的2个皮瓣移位来闭合三角形缺损。6年多来，该技术已用于闭合27例慢性藏毛窦疾病患者（6例女性，21例男性）的缺损。缺损尺寸在3.5厘米至12厘米之间。结果 所有患者均实现无张力缺损闭合。除1例皮瓣外，所有皮瓣均愈合且无并发症。平均随访3.62±1.77个月显示所有患者的臀沟消失，在美学和功能上均获得可接受结果。随访期内未观察到复发。结论 三角形闭合技术被发现是一种治疗藏毛窦的有用技术，在恢复工作前的时间方面取得了良好效果。
