Franklin J D, Withers E H, Madden J J, Lynch J B
Plast Reconstr Surg. 1979 Feb;63(2):195-204. doi: 10.1097/00006534-197902000-00007.
Many defects of the head and neck can be readily repaired with a free dorsalis pedis flap, and we report success with these flaps in 9 of 12 cases. A precise knowledge of the anatomy of the arterial supply of the flap is necessary. Preoperative arteriography is recommended if the dorsalis pedis artery is not easily palpable, or if an anomalous distribution of the artery along the dorsum of the foot is sus pected. However, the transfer of the flap should be delayed for two weeks after preoperative arteriography is performed. The one-stage soft tissue reconstruction with a free dorsalis pedis flap has been associated with minimal morbidity and good acceptance by patients. A delay procedure for the flap seems to enhance the chances of complete survival which is so necessary in the repair of intraoral and pharyngeal defects. Careful attention to details and close monitoring of the flap will minimize morbidity. In case of an early failure of a flap, a secondary reconstruction by a different flap can be done in the first 48 to 72 hours. Early postoperative radiotherapy has been well tolerated over these free flaps.
许多头颈部缺损可用游离足背皮瓣轻松修复，我们报告12例中有9例使用这些皮瓣获得成功。必须精确了解皮瓣动脉供应的解剖结构。如果足背动脉不易触及，或怀疑动脉沿足背分布异常，建议术前行动脉造影。然而，皮瓣转移应在术前行动脉造影后延迟两周进行。游离足背皮瓣一期软组织重建的发病率极低，患者接受度良好。皮瓣延迟手术似乎能提高完全存活的几率，这在修复口腔和咽部缺损时非常必要。仔细注意细节并密切监测皮瓣将使发病率降至最低。如果皮瓣早期失败，可在最初48至72小时内用不同皮瓣进行二期重建。这些游离皮瓣对术后早期放疗耐受性良好。
