Xia Zhengguo, Li Pengtao, Wang Yin, Wang Wenting, Hu Chao, Cao Xinwang, Fang Linsen
Department of Wound Repair and Plastic and Aesthetic Surgery, the First Affiliated Hospital of Anhui Medical University, Anhui, China; Anhui Public Health Clinical Center, Anhui, China.
Department of Plastic and Aesthetic Surgery, the First Affiliated Hospital of Anhui Medical University, Anhui, China.
Wounds. 2023 Mar;35(3):47-52. doi: 10.25270/wnds/21155.
Dead space is an important risk factor for poor wound healing; therefore, it is important to effectively fill deep dead space through individualized tissue flap design during the repair of complex wounds. Adipofascial flaps have yielded good results in the repair of deep dead space wounds.
The authors evaluated the efficacy of 3 kinds of adipofascial flaps to repair deep dead space wounds.
From January 2019 to January 2022, 15 patients with complicated wounds accompanied by deep dead space underwent repair via 1 of 3 kinds of adipofascial flaps, and the clinical efficacy was observed.
All 15 transplanted adipofascial flaps exhibited complete survival, and within a mean follow-up of 14.7 months, both the donor and recipient sites had successfully healed.
The traditional pedicled adipofascial flap was used to repair single deep dead space wounds, and pedicled perforator adipofascial extension flaps or layered fasciocutaneous flaps were used on compound tissue defect wounds, thus providing a relatively simple, safe, and effective method to repair a small area of tissue defect with deep dead space wounds.
死腔是伤口愈合不良的重要危险因素；因此，在复杂伤口修复过程中，通过个体化组织瓣设计有效填充深部死腔至关重要。脂肪筋膜瓣在深部死腔伤口修复中取得了良好效果。
作者评估了3种脂肪筋膜瓣修复深部死腔伤口的疗效。
2019年1月至2022年1月，15例伴有深部死腔的复杂伤口患者通过3种脂肪筋膜瓣中的1种进行修复，并观察临床疗效。
15块移植的脂肪筋膜瓣全部存活，平均随访14.7个月，供区和受区均顺利愈合。
传统带蒂脂肪筋膜瓣用于修复单一深部死腔伤口，带蒂穿支脂肪筋膜延长瓣或分层筋膜皮瓣用于复合组织缺损伤口，从而为修复小面积伴有深部死腔伤口的组织缺损提供了一种相对简单、安全且有效的方法。
