为优化供区并发症而对股前外侧皮瓣进行个体化设计。
Tailoring of ALT Flap for Optimizing Donor Site Morbidity.
作者信息
Bag Soumya Kanti, Das Cinjini
机构信息
Department of Plastic and Reconstructive Surgery, Medica Superspeciality Hospital, Kolkata, West Bengal, India.
出版信息
Indian J Plast Surg. 2024 May 30;57(3):223-226. doi: 10.1055/s-0044-1787056. eCollection 2024 Jun.
Abstract
Wide and irregular-shaped defects at the lower trunk region are not uncommon following wide local excision of tumors. Pedicled anterolateral thigh (ALT) perforator flap has been the workhorse for these types of defects. But, in most of the cases flap donor sites cannot be closed primarily due to wide and irregular-shaped flap requirement. We propose a method of harvesting ALT flap in elliptical shape, dividing it into two or more geometrically predesigned islands based on perforators and rearranging them to fit into the defect, and thus achieving primary closure of the flap donor site.
摘要
肿瘤广泛局部切除后，下躯干区域出现宽且形状不规则的缺损并不少见。带蒂股前外侧（ALT）穿支皮瓣一直是修复这类缺损的常用方法。但是，在大多数情况下，由于需要宽且形状不规则的皮瓣，皮瓣供区无法直接缝合。我们提出一种方法，即切取椭圆形的ALT皮瓣，根据穿支将其分成两个或更多个预先设计好几何形状的岛状皮瓣，然后重新排列这些岛状皮瓣以适应缺损，从而实现皮瓣供区的一期缝合。
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本文引用的文献
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Reconstruction of an upper posterior thigh extensive defect with a free split-anterolateral thigh (s-ALT) flap by perforator-to-perforator anastomosis: A case report.采用穿支对穿支吻合的游离劈开股前外侧皮瓣（s-ALT）修复大腿后上部大面积缺损：1例报告
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The anterolateral thigh flap with kiss technique for microsurgical reconstruction of oncological scalp defects.采用吻合技术的股前外侧皮瓣用于肿瘤性头皮缺损的显微外科重建。
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