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基于锁骨下动脉穿支皮瓣修复颈部软组织缺损:我们的经验

Supraclavicular Artery Perforator Based Flap in Reconstruction of Neck Soft Tissue Defects: Our Experience.

作者信息

Chaudhari Ganesh Sadashiv, Vaghani Sanjay Gordhanbhai, Solanki Raghuvir

机构信息

Department of General Surgery, Maharashtra Postgraduate Institute of Medical Education and Research, Nashik, India Nashik, 422002, Maharashtra.

Burns and Plastic Surgery Department, Dhiraj General Hospital, SBKSMIRC, Sumandeep Vidyapeeth, Vadodara, Gujrat India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):739-747. doi: 10.1007/s12070-023-04265-4. Epub 2023 Dec 23.

Abstract

Neck reconstruction is challenging task as it requires achievement of both function and aesthetic form as it is exposed and visible part of body. Various reconstruction modalities like Skin graft to free flap has been described in literature (Achauer and Sood's Burns Surgery, edition 2006). We used Supraclavicular artery perforator based island Flap for resurfacing defect in Five patients. After localization of Supraclavicular artery perforator with hand held Doppler; flap was raised in subfascial plane and inset was given under anesthesia. Out of five patients, there were two males and three females. Three patients had Postburn neck contractures, one had post electrical burn defect, and one had post infective defect over neck region. All flaps survived well without any complications. Supraclavicular artery perforator based island Flap is a reliable soft tissue cover for neck defects from various etiologies.

摘要

颈部重建是一项具有挑战性的任务,因为它作为身体暴露且可见的部分,需要同时实现功能和美学形态。文献中已描述了各种重建方式,如从皮肤移植到游离皮瓣(《阿绍尔和苏德的烧伤外科学》,2006年版)。我们对5例患者使用基于锁骨下动脉穿支的岛状皮瓣修复缺损。用手持多普勒定位锁骨下动脉穿支后,在筋膜下平面掀起皮瓣,并在麻醉下进行植入。5例患者中,男性2例,女性3例。3例患者有烧伤后颈部挛缩,1例有电击伤后缺损,1例有颈部感染后缺损。所有皮瓣均顺利存活,无任何并发症。基于锁骨下动脉穿支的岛状皮瓣是修复各种病因导致的颈部缺损的可靠软组织覆盖物。

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