Mendez-Fernandez M A, Hollan C, Frank D H, Fisher J C
Plast Reconstr Surg. 1986 Nov;78(5):676-8. doi: 10.1097/00006534-198611000-00020.
The scrotum is a thermoregulatory, well-vascularized structure formed by skin and nonstriated muscle with unique elastic properties. This makes it an ideal source of tissue coverage for problem wounds in its vicinity. Two patients in which scrotal musculocutaneous flaps were used are reported: one, a paraplegic, with a recurrent ischioperineal decubitus ulcer, and another with an ulcer of the penis with exposed Dacron graft previously placed to treat Peyronie's disease. After reviewing the anatomy of the scrotum and the existent literature, we studied scrotal vascularity in a fresh specimen by transillumination. Based on our experience, we conclude that this flap is easy to perform, reliable, and very useful for wounds around the perineal region.
阴囊是一个具有温度调节功能、血管丰富的结构，由皮肤和具有独特弹性特性的非横纹肌构成。这使其成为覆盖其附近问题伤口的理想组织来源。本文报告了两例使用阴囊肌皮瓣的患者：一例是截瘫患者，患有复发性坐骨会阴部褥疮溃疡；另一例是阴茎溃疡患者，其先前植入的用于治疗佩罗尼氏病的涤纶移植物外露。在复习阴囊的解剖结构和现有文献后，我们通过透照法对一个新鲜标本的阴囊血管进行了研究。根据我们的经验，我们得出结论，这种皮瓣操作简便、可靠，对会阴区周围的伤口非常有用。
