Efanov Johnny Ionut, ElHawary Hassan, Chollet Andre, Mottard Sophie, Borsuk Daniel E
Plastic and Reconstructive Surgery, CHU Sainte-Justine, University of Montreal, Montreal, Quebec, Canada.
Plast Reconstr Surg Glob Open. 2021 Mar 24;9(3):e3488. doi: 10.1097/GOX.0000000000003488. eCollection 2021 Mar.
Arterialized venous flow-through flaps are solely vascularized through the venous plexus. The flaps were first described 40 years ago; however, reports of venous congestion and ischemia discouraged surgeons from adopting them into their armamentarium. Nevertheless, recent studies have demonstrated a resurgence of venous flow-through flaps for reconstruction of small to medium defects of the hand and digits. Although current data report variable levels of success in adults, no case reports have been published in the pediatric population for this type of flap. In this study, an arterialized venous flow-through flap from the medial forearm was used to reconstruct a volar hand defect in a young child. Flap markings, surgical technique, and aftercare are described. The surgery was uncomplicated, and the postoperative outcomes were aesthetically and functionally excellent. Venous flow-through flaps restore full-thickness defects, are relatively easy to perform, allow an early return to daily activities, and have almost no morbidity. These flaps offer excellent options for pediatric hand and finger defects.
动脉化静脉穿流皮瓣仅通过静脉丛供血。这类皮瓣在40年前首次被描述；然而，关于静脉淤血和缺血的报道使外科医生不愿将其纳入手术方法中。尽管如此，最近的研究表明，静脉穿流皮瓣在重建手部和手指中小面积缺损方面再度受到关注。虽然目前的数据显示成人使用该皮瓣的成功率各不相同，但尚无关于儿科患者使用此类皮瓣的病例报告。在本研究中，采用来自前臂内侧的动脉化静脉穿流皮瓣修复一名幼儿手掌的缺损。文中描述了皮瓣的标记、手术技术及术后护理。手术过程顺利，术后外观和功能效果均极佳。静脉穿流皮瓣可修复全层缺损，操作相对简单，能使患者早日恢复日常活动，且几乎没有并发症。这些皮瓣为小儿手部和手指缺损提供了极佳的选择。
