Al Lahham Salim, Aljassem Ghanem, Omari Rand Y, Alyazji Zaki, Sada Ruba, Alharami Sara, Albasti Habib
Department of Plastic and Reconstructive Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Department of Hand Reconstruction and Microsurgery, Ganga Hospital, Ganga, India.
J Cutan Aesthet Surg. 2022 Apr-Jun;15(2):142-146. doi: 10.4103/JCAS.JCAS_101_21.
Posterior neck defects are uncommon and are mainly caused by infections or tumors. Consequently, the reconstruction options are limited in the literature. They vary according to the size and type of the defect, and options range from grafts to free flaps. In this article, we present a series of cases where we used a transpositional locoregional flap as a simple and effective way for the coverage of posterior neck defects.
In a series of 11 patients, we designed locoregional transpositional flaps unilaterally or bilaterally, according to the defect size. Dissection was carried on a subfascial plane.
All flaps survived without necrosis. We had two incidents of minimal wound gaping that healed without any intervention.
In this series, we introduce a new option and its algorithm to reconstruct moderate-sized posterior neck defects using locoregional transpositional flaps, either unilaterally or bilaterally. It is simple, easy to conduct, and has a better color match and less complication rate than other options mentioned in the literature.
颈部后部缺损并不常见，主要由感染或肿瘤引起。因此，文献中重建方法有限。这些方法因缺损的大小和类型而异，从移植到游离皮瓣不等。在本文中，我们介绍了一系列病例，其中我们使用转位局部皮瓣作为覆盖颈部后部缺损的一种简单有效的方法。
在一系列11例患者中，我们根据缺损大小单侧或双侧设计局部转位皮瓣。在筋膜下平面进行解剖。
所有皮瓣均存活，无坏死。有两例出现轻微伤口裂开，未经任何干预即愈合。
在本系列研究中，我们介绍了一种使用单侧或双侧局部转位皮瓣重建中等大小颈部后部缺损的新方法及其操作流程。它简单易行，与文献中提到的其他方法相比，颜色匹配更好，并发症发生率更低。
