Mees K, Baumeister R, Kastenbauer E
Univ.-HNO-Klinik, Klinikum Grosshadern, München.
Laryngol Rhinol Otol (Stuttg). 1987 Nov;66(11):591-4.
For reconstruction of large penetrating defects of the cheek besides pedicled tissue transfer numerous free flaps are available to the head and neck surgeon. The inferior epigastric abdominal wall flap, in particular, has proved a versatile and reliable flap, just as the cutaneous flaps from the dorsum of the foot and from the forearm. While the abdominal wall flap offers both, a cutaneous and a peritoneal surface, the latter is used for replacement of intra-oral lining, the cutaneous flaps have to be folded to obtain two surfaces for reconstruction of skin and intra-oral lining. The surgical technique of the epigastric abdominal wall flap is presented and its use is discussed.
除了带蒂组织转移外，对于面颊部大的穿透性缺损的重建，头颈外科医生还有多种游离皮瓣可供选择。特别是下腹壁皮瓣，已被证明是一种多功能且可靠的皮瓣，足背和前臂的皮瓣也是如此。腹壁皮瓣既有皮肤面又有腹膜面，后者用于替代口腔内黏膜，而皮瓣则必须折叠以获得两个表面用于皮肤和口腔内黏膜的重建。本文介绍了下腹壁皮瓣的手术技术并讨论了其应用。
