Plastic, Reconstructive, and Aesthetic Surgery Department, Croix-Rousse Hospital, Hospices Civils de Lyon, 103, Grande Rue de la Croix-Rousse, 69004 Lyon, France; Faculty of Medicine Lyon Est, Claude Bernard University Lyon 1, 8, Avenue Rockefeller, 69003 Lyon, France.
Department of Maxillofacial Surgery, Stomatology, Oral Surgery, and Facial Plastic Surgery, Lyon Sud Hospital, 165, Chemin du Grand-Revoyet, 69310 Pierre-Bénite, France; Faculty of Medicine Lyon Est, Claude Bernard University Lyon 1, 8, Avenue Rockefeller, 69003 Lyon, France.
Ann Chir Plast Esthet. 2024 Jul;69(4):320-325. doi: 10.1016/j.anplas.2024.05.001. Epub 2024 Jun 12.
Fournier's gangrene, a rare infectious condition affecting the external genitalia, often requires aggressive medical-surgical interventions, resulting in variable scrotal tissue loss. Despite numerous proposed reconstruction techniques, achieving a consensus on the most effective approach that balances aesthetics and function remains elusive. This case report presents a one-year follow-up on scrotal reconstruction using a pedicled Superficial Circumflex Iliac Artery Perforator (SCIP) propeller flap.
A 56-year-old patient with significant scrotal tissue loss due to Fournier's gangrene underwent scrotal reconstruction using a pedicled SCIP propeller flap. Optimal placement was ensured through a subcutaneous tunnel, with a thin thigh skin graft applied to cover the penile skin defect.
The SCIP flap is distinguished by its thin and pliable characteristics, rapid harvesting and featuring a discreet donor site. It stands as a compelling alternative to skin grafts, providing advantages in sensory restoration, color congruence, and resilience against tension. Considering the thickness of the reconstruction helps both in recovering testicular function and improving the appearance by restoring the natural contour.
The utilization of the pedicled SCIP propeller flap for scrotal tissue loss resulting from Fournier's gangrene has demonstrated both aesthetic and functional success, underscoring its potential as an effective reconstructive option.
Fournier 坏疽是一种罕见的影响外生殖器的感染性疾病，常需要积极的医疗-手术干预，导致阴囊组织不同程度的缺失。尽管有许多提出的重建技术，但要达成一种平衡美学和功能的最有效方法的共识仍然难以实现。本病例报告介绍了使用带蒂旋髂浅动脉穿支（SCIP）螺旋桨皮瓣进行阴囊重建的一年随访结果。
一名 56 岁患者因 Fournier 坏疽导致阴囊组织大量缺失，接受了带蒂 SCIP 螺旋桨皮瓣阴囊重建术。通过皮下隧道确保了皮瓣的最佳位置，并应用薄的大腿皮肤移植来覆盖阴茎皮肤缺损。
SCIP 皮瓣的特点是薄而柔韧，可快速采集，供区隐蔽。与皮片移植相比，它具有在感觉恢复、颜色匹配和抗张力方面的优势。考虑重建的厚度有助于恢复睾丸功能和改善外观，恢复自然轮廓。
带蒂 SCIP 螺旋桨皮瓣用于治疗 Fournier 坏疽引起的阴囊组织缺失，既具有美学效果，又具有功能效果，强调了其作为一种有效重建选择的潜力。
