Quiney R E, Grant H R
Ann R Coll Surg Engl. 1986 May;68(3):164-7.
Excision of the entire trachea at laryngectomy may make it impossible to suture retrosternal tracheal circumference to skin without tension if traditional skin incisions are used. A satisfactory and possibly original approach to this problem is described with two illustrative case histories. The incision described using a laterally based skin flap allows adjacent skin to be drawn into the neck and any resulting defect is closed with partial thickness skin. The advantages of such a flap over traditional incisions are discussed.
如果采用传统的皮肤切口，在喉切除术时切除整个气管可能会导致无法在无张力的情况下将胸骨后气管圆周缝合至皮肤。本文通过两个病例说明描述了一种令人满意且可能新颖的解决该问题的方法。所描述的使用侧方蒂皮瓣的切口可使相邻皮肤被牵拉至颈部，任何由此产生的缺损用中厚皮片闭合。讨论了这种皮瓣相对于传统切口的优点。
