在选定的患者中，前额皮瓣移植1周后可完全切断蒂部。
Complete division of the pedicle of the forehead flap is possible after 1 week of engraftment in selected patients.
作者信息
Felcht Moritz, Wetzig Tino
机构信息
Department of Dermatology, Venereology and Allergy, Mannheim University Medical Center, Medical Faculty Mannheim, University of Heidelberg, Center of Excellence in Dermatology in Baden-Württemberg, European Center for Angioscience (ECAS), Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
Department of Dermatology, Dermatosurgery and Allergy, Asklepios Medical Center, Weissenfels, Germany.
出版信息
JAAD Int. 2020 Nov 30;2:5-11. doi: 10.1016/j.jdin.2020.10.004. eCollection 2021 Mar.
BACKGROUND
Recent studies have demonstrated that early division of the forehead flap (FHF) is possible if angiography is performed or a remnant of the pedicle is left behind. Whether or not careful selection of patients allows for complete division of the pedicle has not been studied.
OBJECTIVE
To assess if careful selection of patients allows for early complete division of the FHF.
METHODS
The exclusion criteria were trauma in the donor region, full-thickness defects, or a larger cartilage grafting. In the selected patients, complete division of the FHF pedicle was performed at early time points, when the pedicle was clinically engrafted (n = 12).
RESULTS
The median age of the patients was 80 years ± 8. The average size of the wounds was 6.6 cm ± 4.0. The complete division of the pedicle was performed in 10 patients after 7 days, 1 patient after 8 days, and 1 patient after 11 days (median 7.4 days ± 1.1). One patient developed a wound infection, and 1 suffered from postoperative bleeding. The latter patient was the only 1 who required debulking in a third surgical procedure. No necrosis or flap failures were observed.
LIMITATIONS
Retrospective, single-center study.
CONCLUSION
Careful selection allows for complete early division of the pedicle of FHF.
背景
近期研究表明，如果进行血管造影或保留蒂部残端，早期分割前额皮瓣（FHF）是可行的。但尚未研究过精心挑选患者是否能实现蒂部的完全分割。
目的
评估精心挑选患者是否能实现前额皮瓣的早期完全分割。
方法
排除标准为供区外伤、全层缺损或较大的软骨移植。在选定的患者中，当蒂部在临床上已成活时，于早期进行前额皮瓣蒂部的完全分割（n = 12）。
结果
患者的中位年龄为80岁±8岁。伤口平均大小为6.6 cm±4.0 cm。10例患者在7天后进行了蒂部的完全分割，1例在8天后，1例在11天后（中位时间7.4天±1.1天）。1例患者发生伤口感染，1例出现术后出血。后一名患者是唯一需要在第三次手术中进行减容的患者。未观察到坏死或皮瓣失败情况。
局限性
回顾性单中心研究。
结论
精心挑选患者可实现前额皮瓣蒂部的早期完全分割。
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