Tashiro Kensuke, Yamashita Shuji
Department of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Tokyo, Japan; and Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.
Plast Reconstr Surg Glob Open. 2017 Apr 20;5(4):e1308. doi: 10.1097/GOX.0000000000001308. eCollection 2017 Apr.
Reconstruction of dorsalis pedis with soft tissue is challenging because it needs to preserve thin structure to ensure that the patient will be able to wear shoes. Here, we report the use of a thin superficial circumflex iliac artery perforator (SCIP) flap in dorsalis pedis reconstruction. A 67-year-old man presented with a third-degree burn, which exposed his extensor tendons. A thin SCIP flap from the left inguinal region measuring 15 × 4 cm was transferred to the dorsalis pedis region. Postoperatively, no major cosmetic or functional problems were observed. Because the invasiveness of the donor site is nearly same between SCIP flap and skin graft from inguinal region, SCIP flap is better solution in point of textural qualities for dorsalis pedis reconstruction.
采用软组织重建足背具有挑战性，因为需要保留薄的结构以确保患者能够穿鞋。在此，我们报告使用薄的旋髂浅动脉穿支（SCIP）皮瓣进行足背重建。一名67岁男性因三度烧伤导致伸肌腱外露。将一块来自左腹股沟区、大小为15×4 cm的薄SCIP皮瓣转移至足背区域。术后未观察到明显的美容或功能问题。由于SCIP皮瓣和腹股沟区皮肤移植供区的侵袭性几乎相同，从质地方面考虑，SCIP皮瓣是足背重建的更好解决方案。
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