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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.

DOI:10.1055/s-0044-1787056
PMID:39139682
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11319020/
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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f821/11319020/3640b1ee24f7/10-1055-s-0044-1787056-i23112007-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f821/11319020/843eb5ced522/10-1055-s-0044-1787056-i23112007-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f821/11319020/6e614018a126/10-1055-s-0044-1787056-i23112007-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f821/11319020/02fc68669d93/10-1055-s-0044-1787056-i23112007-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f821/11319020/d83761b58fc6/10-1055-s-0044-1787056-i23112007-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f821/11319020/f390e15ebac0/10-1055-s-0044-1787056-i23112007-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f821/11319020/4bc46c8a2dce/10-1055-s-0044-1787056-i23112007-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f821/11319020/3640b1ee24f7/10-1055-s-0044-1787056-i23112007-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f821/11319020/843eb5ced522/10-1055-s-0044-1787056-i23112007-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f821/11319020/6e614018a126/10-1055-s-0044-1787056-i23112007-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f821/11319020/02fc68669d93/10-1055-s-0044-1787056-i23112007-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f821/11319020/d83761b58fc6/10-1055-s-0044-1787056-i23112007-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f821/11319020/f390e15ebac0/10-1055-s-0044-1787056-i23112007-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f821/11319020/4bc46c8a2dce/10-1055-s-0044-1787056-i23112007-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f821/11319020/3640b1ee24f7/10-1055-s-0044-1787056-i23112007-7.jpg

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本文引用的文献

1
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
Microsurgery. 2019 Jan;39(1):91-94. doi: 10.1002/micr.30295. Epub 2018 Jan 17.
2
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。
J Plast Reconstr Aesthet Surg. 2018 Feb;71(2):273-276. doi: 10.1016/j.bjps.2017.10.018. Epub 2017 Nov 7.
3
The Economy in Autologous Tissue Transfer: Part 1. The Kiss Flap Technique.
自体组织转移中的经济性：第1部分。吻接皮瓣技术。
Plast Reconstr Surg. 2016 Mar;137(3):1018-1030. doi: 10.1097/01.prs.0000479971.99309.21.
4
Efficient design of split anterolateral thigh flap in extremity reconstruction.高效设计分体式股前外侧皮瓣在四肢重建中的应用。
Plast Reconstr Surg. 2011 Dec;128(6):1242-1249. doi: 10.1097/PRS.0b013e318230c868.
5
A reliable parameter for primary closure of the free anterolateral thigh flap donor site.游离股前外侧皮瓣供区一期闭合的可靠参数。
Plast Reconstr Surg. 2010 Nov;126(5):1558-1562. doi: 10.1097/PRS.0b013e3181ef8cb7.
6
Reconstruction of very large defects: a novel application of the double skin paddle anterolateral thigh flap design provides for primary donor-site closure.重建超大缺损：前外侧股皮瓣双皮瓣设计的新应用可实现供区的一期直接闭合。
J Plast Reconstr Aesthet Surg. 2010 Jan;63(1):120-5. doi: 10.1016/j.bjps.2008.08.022. Epub 2008 Nov 18.
7
Anterolateral thigh flap reconstruction of large external facial skin defects: a follow-up study on functional and aesthetic recipient- and donor-site outcome.大腿前外侧皮瓣修复面部大面积皮肤缺损：受区与供区功能及美学效果的随访研究
Plast Reconstr Surg. 2005 Apr;115(4):1077-86. doi: 10.1097/01.prs.0000156153.17258.ce.
8
Free split-cutaneous perforator flaps procured using a three-dimensional harvest technique for the reconstruction of postburn contracture defects.采用三维切取技术获取游离劈裂皮穿支皮瓣用于烧伤后挛缩畸形缺损的修复。
Plast Reconstr Surg. 2004 Jan;113(1):185-93; discussion 194-5. doi: 10.1097/01.PRS.0000096707.22461.8A.
9
Anterolateral thigh flap donor-site complications and morbidity.股前外侧皮瓣供区并发症及发病率
Plast Reconstr Surg. 2000 Sep;106(3):584-9. doi: 10.1097/00006534-200009030-00009.
10
The free thigh flap: a new free flap concept based on the septocutaneous artery.游离股部皮瓣：一种基于隔皮动脉的新型游离皮瓣概念。
Br J Plast Surg. 1984 Apr;37(2):149-59. doi: 10.1016/0007-1226(84)90002-x.