Petres J
Hautklinik der Städtischen Kliniken Kassel.
Z Hautkr. 1988;63 Suppl 2:30-4.
Pedicle flaps are performed within the operative dermatology basically to close larger operation defects following surgical excision of malignant skin tumors. It is a fact, that more than 3/4 of these skin tumors are located on the head and the cervical region. Especially in this area local and regional flaps guarantee a functionally and aesthetically satisfying reconstruction of the excised structures. As a matter of fact the basic methods of pedicle flaps as the transposition and the advancement-flaps are known for more than a hundred years. In the meantime the techniques were merely refined and modified, so that even extended skin and soft-tissue defects can be closed without compromising on radicality. Based on broad own experience the indication and the application of these techniques are described. Possible risks are demonstrated which can arise by disregarding anatomical and morphological conditions.
带蒂皮瓣主要在手术皮肤科中用于闭合恶性皮肤肿瘤手术切除后的较大手术缺损。事实上，超过四分之三的此类皮肤肿瘤位于头部和颈部区域。特别是在该区域，局部和区域皮瓣能保证对切除结构进行功能和美学上令人满意的重建。实际上，带蒂皮瓣的基本方法如转位皮瓣和推进皮瓣已为人所知达一百多年。与此同时，这些技术只是得到了改进和改良，从而即使是大面积的皮肤和软组织缺损也能在不影响根治性的情况下得以闭合。基于广泛的自身经验，描述了这些技术的适应证和应用。还展示了忽视解剖和形态学条件可能产生的潜在风险。
