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使用局部转位皮瓣和吻合至对侧的背阔肌游离皮瓣修复无同侧供血管可能性的颞部头皮缺损:病例报告

Reconstruction of a temporal scalp defect without ipsilateral donor vessel possibilities using a local transposition flap and a latissimus dorsi free flap anastomosed to the contralateral side: a case report.

作者信息

An Jung Kwon, Park Seong Oh, Chang Lan Sook, Kim Youn Hwan, Min Kyunghyun

机构信息

Department of Plastic and Reconstructive Surgery, Hanyang University College of Medicine, Seoul, Korea.

出版信息

Arch Craniofac Surg. 2023 Jun;24(3):129-132. doi: 10.7181/acfs.2023.00129. Epub 2023 Jun 20.

Abstract

Scalp defects necessitate diverse approaches for successful reconstruction, taking into account factors such as defect size, surrounding tissue, and recipient vessel quality. This case report presents a challenging scenario involving a temporal scalp defect where ipsilateral recipient vessels were unavailable. The defect was effectively reconstructed utilizing a transposition flap and a latissimus dorsi free flap, which was anastomosed to the contralateral recipient vessels. Our report underscores the successful reconstruction of a scalp defect in the absence of ipsilateral recipient vessels, emphasizing the importance of employing appropriate surgical interventions without necessitating vessel grafts.

摘要

头皮缺损需要采用多种方法才能成功修复,这要考虑到缺损大小、周围组织和受区血管质量等因素。本病例报告呈现了一个具有挑战性的情况,即颞部头皮缺损且同侧没有可用的受区血管。利用一个转位皮瓣和一个背阔肌游离皮瓣成功修复了该缺损,背阔肌游离皮瓣与对侧受区血管进行了吻合。我们的报告强调了在没有同侧受区血管的情况下成功修复头皮缺损,突出了采用适当手术干预而无需血管移植的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bf6/10365903/875ffc1fab41/acfs-2023-00129f1.jpg

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