局部全厚皮片移植修复游离前臂皮瓣供区的理想选择。
An Ideal Choice for Closure of Large Free Radial Forearm Flap Donor Site Using a Local Full-Thickness Skin Graft.
机构信息
Department of Plastic and Reconstructive Surgery, Hiroshima Prefectural Hospital, Hiroshima.
Department of Plastic and Reconstructive Surgery, Hyogo Cancer Center, Hyogo.
出版信息
J Craniofac Surg. 2022 Sep 1;33(6):1897-1898. doi: 10.1097/SCS.0000000000008640. Epub 2022 Mar 10.
The local full-thickness skin graft (FTSG) method based on the V-Y closure is reported to be the most convenient and reliable technique for free radial forearm flap (FRFF) donor site closure. The spindle-shaped FTSG was the most common local closure method in free osteofasciocutaneous fibula flaps but not FRFF reconstructions, despite being conveniently applicable to FRFF donor sites. The authors devised a spindle-shaped FTSG harvested from the ipsilateral radial forearm as a new concept in repairing the FRFF donor site. This procedure was performed on 4 patients and the average flap defect size was 5.0 × 8.3 cm (41.3 cm 2 ). The spindle-shaped FTSG is more likely to adapt to longer FRFFs, while a V-Y closure is more likely to adapt to wider ones. It is desirable to use both FTSGs properly depending on the large FRFF shape.
基于 V-Y 闭合的局部全厚皮片（FTSG）移植法被报道为游离桡侧前臂皮瓣（FRFF）供区闭合最方便、最可靠的技术。尽管可方便地应用于 FRFF 供区，但纺锤形 FTSG 是游离骨皮肌皮瓣最常见的局部闭合方法，而不是 FRFF 重建。作者设计了一种从同侧桡侧前臂切取的纺锤形 FTSG，作为修复 FRFF 供区的新概念。该方法应用于 4 例患者，平均皮瓣缺损大小为 5.0×8.3cm（41.3cm2）。纺锤形 FTSG 更可能适用于较长的 FRFF，而 V-Y 闭合更可能适用于较宽的 FRFF。根据较大 FRFF 的形状，理想情况下应适当使用两种 FTSG。
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