带全层拇长屈肌的腓骨肌皮骨瓣
Fibula Musculo-Osteocutaneous Flap with Full Thickness of Flexor Hallucis Longus Muscle.
作者信息
Venkatesh Mysore Srinivas, Kumaraswamy Mohan Kumar, Shivalingappa Shantha Kumar, Waiker Veena Prabhakar
机构信息
Department of Plastic Surgery, Ramaiah Medical College and Hospital, Bengaluru, 560040, Bangalore, India.
出版信息
World J Plast Surg. 2021 Jan;10(1):22-29. doi: 10.29252/wjps.10.1.22.
BACKGROUND
Fibula flap has been a gold standard method for reconstruction of the mandible. It has been used for reconstruction of maxilla as well as long bones, effectively. Fibula flap in selected cases has been used as a pedicled flap. The flexor hallucis longus muscle has been used to obliterate the dead space during the reconstruction. With a wide range of indications, the use of flexor hallucis muscle has studied for the reconstruction.
METHODS
In a retrospective case record analysis study, 38 subjects were enrolled, included 32 patients with reconstruction of mandible, 1 patient with reconstruction of maxilla, 4 patients with 3 free flaps and 1 pedicled flap with reconstruction of the tibia.
RESULTS
The success rate was 89%, with 4 flap failures. The muscle was used for reconstruction of the tongue, floor of the mouth, antrum, and to cover the fibula graft.
CONCLUSION
Flexor hallucis longus muscle harvested with the flap could decrease the operative time, ease the harvest, and fill the dead space during reconstruction.
背景
腓骨瓣一直是下颌骨重建的金标准方法。它也被有效地用于上颌骨以及长骨的重建。在某些特定情况下，腓骨瓣可作为带蒂皮瓣使用。在重建过程中，长屈肌已被用于消除死腔。鉴于其广泛的适应症，人们对长屈肌在重建中的应用进行了研究。
方法
在一项回顾性病例记录分析研究中，纳入了38名受试者，其中包括32名下颌骨重建患者、1名上颌骨重建患者、4名接受3个游离皮瓣和1个带蒂皮瓣进行胫骨重建的患者。
结果
成功率为89%，有4例皮瓣失败。该肌肉用于舌、口腔底部、上颌窦的重建以及覆盖腓骨移植物。
结论
与皮瓣一起切取的长屈肌可减少手术时间，便于切取，并在重建过程中填充死腔。
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