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用于颏下区缺损修复的螺旋桨式颈横动脉浅支穿支皮瓣:1例病例报告

A propeller superficial transverse cervical artery perforator flap for defect coverage of the submental area: a case report.

作者信息

Choi Jong Yun, Seo Jeong Hwa, Cha Won Jin, Seo Bommie Florence, Jung Sung-No

机构信息

Department of Plastic and Reconstructive Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

出版信息

Arch Craniofac Surg. 2021 Dec;22(6):341-344. doi: 10.7181/acfs.2021.00563. Epub 2021 Dec 20.

DOI:10.7181/acfs.2021.00563
PMID:34974692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8721430/
Abstract

Reconstruction of submental defects is a challenge that needs to be approached carefully, since many important anatomical structures are located in this small space. Both aesthetic and functional outcomes should be considered during reconstruction. In this report, we describe a case where a superficial branch of the transverse cervical artery (STCA) perforator propeller flap was applied for coverage of the submental area. An 85-year-old woman presented with a 3-cm ovoid mass on her submental area. We covered the large submental defect with a STCA rotational flap in a 180° propeller pattern. The flap survived well without any complications at 1 year of follow-up. A STCA propeller flap is a useful surgical option in reconstruction for defect coverage of the submental area.

摘要

颏下区缺损的修复是一项需要谨慎处理的挑战,因为许多重要的解剖结构都位于这个狭小的空间内。在修复过程中,应同时考虑美学和功能效果。在本报告中,我们描述了一例应用颈横动脉浅支(STCA)穿支推进皮瓣覆盖颏下区的病例。一名85岁女性,颏下区出现一个3厘米的椭圆形肿物。我们采用180°推进模式的STCA旋转皮瓣覆盖了大面积的颏下区缺损。随访1年,皮瓣存活良好,无任何并发症。STCA推进皮瓣是修复颏下区缺损覆盖的一种有用的手术选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ba6/8721430/c5c62e1c26f1/acfs-2021-00563f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ba6/8721430/f6a3a2b640ee/acfs-2021-00563f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ba6/8721430/053ce54eb720/acfs-2021-00563f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ba6/8721430/15957513010e/acfs-2021-00563f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ba6/8721430/6225e7d31772/acfs-2021-00563f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ba6/8721430/c5c62e1c26f1/acfs-2021-00563f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ba6/8721430/f6a3a2b640ee/acfs-2021-00563f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ba6/8721430/053ce54eb720/acfs-2021-00563f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ba6/8721430/15957513010e/acfs-2021-00563f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ba6/8721430/6225e7d31772/acfs-2021-00563f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ba6/8721430/c5c62e1c26f1/acfs-2021-00563f5.jpg

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Arch Craniofac Surg. 2021 Feb;22(1):38-44. doi: 10.7181/acfs.2020.00745. Epub 2021 Feb 20.
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How to Design and Harvest a Propeller Flap.如何设计与切取螺旋桨皮瓣。
Semin Plast Surg. 2020 Aug;34(3):152-160. doi: 10.1055/s-0040-1714271. Epub 2020 Sep 22.
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Arch Craniofac Surg. 2020 Feb;21(1):27-34. doi: 10.7181/acfs.2019.00738. Epub 2020 Feb 20.
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