Suzuki S, Isshiki N, Ishikawa K, Ogawa Y
Division of Plastic Surgery, Faculty of Medicine, Kyoto University, Japan.
Plast Reconstr Surg. 1987 Dec;80(6):792-8. doi: 10.1097/00006534-198712000-00006.
Subcutaneous pedicle flaps, which were usually applied to repair small skin defects in the face or the fingertip, have been used with success in the treatment of 17 postburn scar contractures, with the exception of one partial flap necrosis. The results indicate the reliability and usefulness of this technique in the treatment of scar contractures, even in the extremities or the trunk. Subcutaneous pedicle flaps are effective for relatively wide contractures or quadratic contractures. When the skin tension across the contracture line is too great to use any local flap, such as a Z-plasty or V-Y plasty, the subcutaneous pedicle flap is particularly useful, because it can be freely designed in an area where the tension is small. When the flap contains some superficial scarring, the subcutaneous pedicle flap is preferred over other local flaps because of the superior vascularity and mobility.
皮下蒂皮瓣通常用于修复面部或指尖的小面积皮肤缺损，已成功用于治疗17例烧伤后瘢痕挛缩，仅1例出现部分皮瓣坏死。结果表明该技术在治疗瘢痕挛缩方面具有可靠性和实用性，即使在四肢或躯干部位也是如此。皮下蒂皮瓣对于相对较宽的挛缩或方形挛缩有效。当跨越挛缩线的皮肤张力过大而无法使用任何局部皮瓣（如Z成形术或V-Y成形术）时，皮下蒂皮瓣特别有用，因为它可以在张力较小的区域自由设计。当皮瓣包含一些浅表瘢痕时，由于其优越的血供和可移动性，皮下蒂皮瓣比其他局部皮瓣更受青睐。
