Plastic, Reconstructive and Aesthetic Surgery Service, Department of Surgery, Changi General Hospital, 2 Simei Street 3, Singapore 529889, Singapore.
Department of Plastic and Reconstructive Surgery, Center Hospital of National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo 162-8655, Japan.
Oral Maxillofac Surg Clin North Am. 2024 Nov;36(4):537-544. doi: 10.1016/j.coms.2024.07.013. Epub 2024 Aug 28.
The authors aim to provide a comprehensive overview of the advancements in head and neck reconstructive surgery using thinned perforator flaps. The article categorizes these flaps based on thickness and discusses the importance of standardized terminology. Critical aspects like flap vascularity, pre-operative planning, and imaging technologies for perforator mapping are examined with practical considerations. The article then delves into various thinning techniques and their applications in head and neck reconstructions, highlighting challenges and concerns. In conclusion, significant progress in reconstructive surgery using thinned perforator flaps has brought advancements in improving surgical precision and patient outcomes in head and neck reconstructions.
作者旨在全面概述使用薄型穿支皮瓣进行头颈部重建手术的进展。文章根据厚度对这些皮瓣进行分类,并讨论了标准化术语的重要性。还结合实际考虑,检查了皮瓣血供、术前规划和穿支定位成像技术等关键方面。然后,文章深入探讨了各种变薄技术及其在头颈部重建中的应用,强调了挑战和关注点。总之,使用薄型穿支皮瓣进行重建手术的显著进展,提高了头颈部重建手术的精确性和患者的治疗效果。