Frobert P, Bekara F, Bertheuil N, Delay E, Herlin C, Chaput B
Department of Plastic and Reconstructive Surgery, Centre Leon-Bérard, 28, rue Laennec, 69373 Lyon cedex 08, France.
Department of Plastic and Reconstructive Surgery, Burns and Wound Healing Units, CHRU Lapeyronie, 34090 Montpellier, France.
Ann Chir Plast Esthet. 2019 Feb;64(1):61-67. doi: 10.1016/j.anplas.2018.06.001. Epub 2018 Jun 22.
Only a few surgical choices are available for cervical and thoracic spine coverage. The trapezius perforator flap is relatively unknown and only a few authors have published on this subject. In this article, we report on four clinical cases where a trapezius perforator flap was used either as a propeller flap, as a tunnelized island flap, or as a supercharged flap for cervical spine, thoracic spine and anterior cervical defects. Harvesting this flap is quite simple and enables high quality reconstruction with low donor-site morbidity in complex situations.
对于颈椎和胸椎的覆盖，可供选择的手术方式有限。斜方肌穿支皮瓣相对鲜为人知，仅有少数作者发表过关于该主题的文章。在本文中，我们报告了4例临床病例，其中斜方肌穿支皮瓣被用作推进皮瓣、隧道化岛状皮瓣或增压皮瓣，用于颈椎、胸椎和颈前部缺损的修复。切取该皮瓣操作相当简单，在复杂情况下能够实现高质量重建，且供区并发症发生率低。
