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加快印度头皮电烧伤患者大腿前外侧大皮瓣的静脉引流：两例使用原发性静脉移植进行二次静脉吻合的病例报告

Expediting venous drainage in large anterolateral thigh flaps for scalp electrical burns in India: two case reports on the use of primary vein grafts for second vein anastomosis.

作者信息

Chawaria Jyotica Jagadish, Ravula Parvati, Tabassum Nazia, Rangachari Srikanth

机构信息

Department of Plastic and Reconstructive Surgery, Nizams Institute of Medical Sciences, Hyderabad, India.

出版信息

J Trauma Inj. 2023 Dec;36(4):404-410. doi: 10.20408/jti.2023.0054. Epub 2023 Nov 30.

DOI:10.20408/jti.2023.0054
PMID:39381573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11309240/
Abstract

Large scalp defects resulting from high-voltage electrical burns require free flaps, preferably skin, to permit optimal coverage and enable future or simultaneous cranial vault reconstruction. The anterolateral thigh permits the harvest of a large area of skin supplied by a reliable perforator. The superficial temporal vessels offer the proximate choice of recipient vessels to enable adequate reach and coverage. The lack of a second vein at this site implies the inability to perform a second venous anastomosis; however, this obstacle can be overcome by using an interposition vein graft, to the neck veins primarily. This assures adequate venous drainage and complete flap survival.

摘要

高压电烧伤导致的大面积头皮缺损需要游离皮瓣，最好是皮肤皮瓣，以实现最佳覆盖，并为未来或同期的颅骨重建创造条件。大腿前外侧可切取由可靠穿支血管供血的大面积皮肤。颞浅血管是较为理想的受区血管选择，以便有足够的长度进行覆盖。该部位缺乏第二条静脉意味着无法进行第二次静脉吻合；然而，这一障碍可通过使用静脉移植来克服，主要是移植到颈部静脉。这可确保充足的静脉引流并使皮瓣完全存活。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/323f/11309240/c2a435d36e4a/jti-2023-0054f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/323f/11309240/37abcc137859/jti-2023-0054f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/323f/11309240/0d454bc079c5/jti-2023-0054f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/323f/11309240/c2a435d36e4a/jti-2023-0054f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/323f/11309240/37abcc137859/jti-2023-0054f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/323f/11309240/0d454bc079c5/jti-2023-0054f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/323f/11309240/c2a435d36e4a/jti-2023-0054f7.jpg

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Expediting venous drainage in large anterolateral thigh flaps for scalp electrical burns in India: two case reports on the use of primary vein grafts for second vein anastomosis.加快印度头皮电烧伤患者大腿前外侧大皮瓣的静脉引流：两例使用原发性静脉移植进行二次静脉吻合的病例报告
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本文引用的文献

1
Superficial temporal vessels, both anterograde and retrograde limbs, are viable recipient vessels for recurrent head and neck reconstruction in patients with frozen neck.颈僵患者行头颈部复发性肿瘤切除术后，可利用顺行和逆行颞浅血管作为受区血管进行再重建。
Head Neck. 2019 Oct;41(10):3618-3623. doi: 10.1002/hed.25886. Epub 2019 Jul 26.
2
Interposition Vein Grafting in Head and Neck Free Flap Reconstruction.头颈部游离皮瓣重建术中的间置静脉移植术
Plast Reconstr Surg. 2018 Oct;142(4):1025-1034. doi: 10.1097/PRS.0000000000004770.
3
Comparison of Single and Double Venous Anastomoses in Head and Neck Oncologic Reconstruction Using Free Flaps: A Meta-Analysis.
头颈部肿瘤重建中使用游离皮瓣的单静脉和双静脉吻合术比较：一项荟萃分析
Plast Reconstr Surg. 2016 May;137(5):1583-1594. doi: 10.1097/PRS.0000000000002087.
4
Flaps pedicled on the superficial temporal artery and vein in facial reconstruction: a versatile option with a venous pitfall.面部重建中基于颞浅动静脉的皮瓣：一种存在静脉陷阱的通用选择。
J Plast Surg Hand Surg. 2011 Sep;45(4-5):178-87. doi: 10.3109/2000656X.2011.582373.
5
Superficial temporal artery and vein as recipient vessels for facial and scalp microsurgical reconstruction.颞浅动静脉作为面部和头皮显微外科重建的受区血管。
Plast Reconstr Surg. 2007 Dec;120(7):1879-1884. doi: 10.1097/01.prs.0000287273.48145.bd.
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One-stage reconstruction of large scalp defects: anterolateral thigh flap.
Microsurgery. 2006;26(3):155-9. doi: 10.1002/micr.20189.
7
Scalp reconstruction with free flaps using the external carotid artery and internal jugular vein as the recipient vessels without the need for interpositional vein grafts or arterio-venous loops.使用颈外动脉和颈内静脉作为受区血管进行游离皮瓣头皮重建，无需中间静脉移植或动静脉袢。
Br J Plast Surg. 2005 Oct;58(7):1025-6. doi: 10.1016/j.bjps.2005.04.056.
8
Venous drainage architecture of the temporal and parietal regions: anatomy of the superficial temporal artery and vein.颞区和顶区的静脉引流结构：颞浅动静脉的解剖
Plast Reconstr Surg. 2002 Jun;109(7):2197-203. doi: 10.1097/00006534-200206000-00003.
9
Reconstruction of scalp defects with free flaps in 30 cases.30例头皮缺损的游离皮瓣修复术
Br J Plast Surg. 1998 Apr;51(3):186-90. doi: 10.1054/bjps.1997.0182.
10
Reconstruction of refractory defect of scalp and skull using microsurgical free flap transfer.
Microsurgery. 1994;15(9):633-8. doi: 10.1002/micr.1920150906.