Liu Chi-Hsin, Yeh Lih-Seng
Institute of Veterinary Clinical Sciences, School of Veterinary Medicine and Veterinary Teaching Hospital, National Taiwan University, Taipei, Taiwan, ROC.
Vet Surg. 2017 Nov;46(8):1116-1119. doi: 10.1111/vsu.12694. Epub 2017 Aug 22.
To describe the clinical application of a vascularized preputial free flap in the reconstruction of a large facial-labial defect.
Case report.
An adult neutered male mongrel dog with a large left facial-labial defect.
A preputial free flap was created by elevating the cranial part of the prepuce, using the ipsilateral caudal superficial epigastric vessels as a vascular pedicle. The flap was transferred to the facial-labial defect and the donor vessels anastomosed to the sublingual artery and vein, using standard microvascular technique.
The free flap survived, leading to good cosmetic and functional outcomes. No major complications were encountered at either the donor or recipient sites after 2 years of follow-up.
Vascularized preputial free flaps can be used to manage composite facial and oral cavity defects involving large areas of skin and mucosa.
描述带血管蒂的包皮游离皮瓣在修复大面积面部 - 唇部缺损中的临床应用。
病例报告。
一只成年去势雄性杂种犬，左侧面部 - 唇部有大面积缺损。
通过掀起包皮的头侧部分制作包皮游离皮瓣，以同侧尾侧腹壁浅血管作为血管蒂。使用标准微血管技术将皮瓣转移至面部 - 唇部缺损处，并将供体血管与舌下动静脉吻合。
游离皮瓣存活，获得了良好的美容和功能效果。随访2年后，供区和受区均未出现重大并发症。
带血管蒂的包皮游离皮瓣可用于处理涉及大面积皮肤和黏膜的面部及口腔复合缺损。
