Jing S S, Chakrabarty K
Department of Plastic Surgery, Wythenshawe Hospital, Southmoor Rd, Wythenshawe, Manchester M23 9LT, United Kingdom.
JPRAS Open. 2020 May 16;25:4-7. doi: 10.1016/j.jpra.2020.04.001. eCollection 2020 Sep.
Aplasia cutis congenita presents a reconstructive challenge. We report the use of a tube pedicle radial forearm flap for scalp resurfacing in a patient who previously had two failed free flaps.
A young male patient with cutis aplasia presented with a large full thickness defect of his occiput. He had multiple episodes of recurrent infections and a history of numerous surgeries as a child including tissue expansions. As a young adult he had two failed free flap reconstructions. A CT angiogram failed to demonstrate any adequate bloody supply to the scalp that would be suitable for another free tissue transfer. We successfully performed a tube pedicled flap from his forearm achieving good functional and aesthetic results.
Originally descried by Filatov, the tube pedicle flaps remains a useful salvage option in the armamentarium of modern-day reconstruction.
先天性皮肤发育不全带来了重建方面的挑战。我们报告了一名患者的病例，该患者先前两次游离皮瓣移植失败，此次采用带蒂桡骨前臂皮管修复头皮。
一名患有皮肤发育不全的年轻男性患者，枕部存在大面积全层缺损。他曾多次发生反复感染，小时候经历过多次手术，包括组织扩张术。成年后，他两次游离皮瓣重建均失败。CT血管造影未能显示头皮有任何适合再次进行游离组织移植的充足血供。我们成功地从前臂切取带蒂皮管，获得了良好的功能和美学效果。
带蒂皮管最初由菲拉托夫描述，在现代重建手段中仍是一种有用的挽救方法。
