• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

带蒂背阔肌肌皮瓣远端皮瓣用于头颈部重建的挽救手术

Salvage Operation of Head and Neck Reconstruction Using a Pedicled Latissimus Dorsi Myocutaneous Flap with Distally Positioned Skin Paddle.

作者信息

Kojima Tsubasa, Motomura Hisashi, Nochi Deguchi Ayaka, Maeda Shusaku, Kang Songsu

机构信息

From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.

出版信息

Plast Reconstr Surg Glob Open. 2024 Oct 11;12(10):e6199. doi: 10.1097/GOX.0000000000006199. eCollection 2024 Oct.

DOI:10.1097/GOX.0000000000006199
PMID:39399802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11469822/
Abstract

BACKGROUND

There are many situations in head and neck reconstruction where a pedicled flap must be chosen over free flaps. In such situations, one of our options is a pedicled latissimus dorsi (LD) myocutaneous flap with distally positioned skin paddle with a more distal skin flap design.

METHODS

We performed 22 reconstruction cases using a distally positioned pedicled LD myocutaneous flap. When designing the skin paddle more distally than usual, it is important to include the lateral cutaneous branch of the 10th posterior intercostal artery. By splitting the skin paddle sections, the LD flap is flexible for use in complex head and neck defects. It can also be used for mandibular reconstruction by harvesting the flap with costal bone.

RESULTS

In all cases, the skin flaps survived, with a salvage rate of 100%.

CONCLUSIONS

Because elevation of this flap is relatively easy, safe, and quick, this flap selection is considered practical in salvage cases after flap necrosis, and in cases after multiple procedures.

摘要

背景

在头颈部重建中，有许多情况必须选择带蒂皮瓣而非游离皮瓣。在这种情况下，我们的选择之一是带蒂背阔肌（LD）肌皮瓣，其皮瓣位于远端，采用更远端的皮瓣设计。

方法

我们使用远端带蒂的LD肌皮瓣进行了22例重建手术。当将皮瓣设计得比平时更靠远端时，纳入第10肋间后动脉的外侧皮支很重要。通过将皮瓣部分分开，LD皮瓣可灵活用于复杂的头颈部缺损。它还可通过切取带肋骨的皮瓣用于下颌骨重建。

结果

所有病例中，皮瓣均存活，挽救率为100%。

结论

由于该皮瓣的掀起相对容易、安全且快速，因此在皮瓣坏死的挽救病例以及多次手术后的病例中，这种皮瓣选择被认为是实用的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/26b10e9739b6/gox-12-e6199-g019.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/9cf0dc8f8d03/gox-12-e6199-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/ea409730a962/gox-12-e6199-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/7faca26426c5/gox-12-e6199-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/ae6645a4b772/gox-12-e6199-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/385bac65376e/gox-12-e6199-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/628ab276ca2f/gox-12-e6199-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/497281f8b780/gox-12-e6199-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/1e48f54e3591/gox-12-e6199-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/be69d5cbd521/gox-12-e6199-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/1f871bd10cb7/gox-12-e6199-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/71d21e4b96b1/gox-12-e6199-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/211f003b49ce/gox-12-e6199-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/ff796b5db339/gox-12-e6199-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/9ca1d356a3f1/gox-12-e6199-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/e476c865b226/gox-12-e6199-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/1769f33486a5/gox-12-e6199-g016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/4f0555e080ad/gox-12-e6199-g017.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/2217e1e7e4f9/gox-12-e6199-g018.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/26b10e9739b6/gox-12-e6199-g019.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/9cf0dc8f8d03/gox-12-e6199-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/ea409730a962/gox-12-e6199-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/7faca26426c5/gox-12-e6199-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/ae6645a4b772/gox-12-e6199-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/385bac65376e/gox-12-e6199-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/628ab276ca2f/gox-12-e6199-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/497281f8b780/gox-12-e6199-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/1e48f54e3591/gox-12-e6199-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/be69d5cbd521/gox-12-e6199-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/1f871bd10cb7/gox-12-e6199-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/71d21e4b96b1/gox-12-e6199-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/211f003b49ce/gox-12-e6199-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/ff796b5db339/gox-12-e6199-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/9ca1d356a3f1/gox-12-e6199-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/e476c865b226/gox-12-e6199-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/1769f33486a5/gox-12-e6199-g016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/4f0555e080ad/gox-12-e6199-g017.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/2217e1e7e4f9/gox-12-e6199-g018.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5364/11469822/26b10e9739b6/gox-12-e6199-g019.jpg

相似文献

1
Salvage Operation of Head and Neck Reconstruction Using a Pedicled Latissimus Dorsi Myocutaneous Flap with Distally Positioned Skin Paddle.带蒂背阔肌肌皮瓣远端皮瓣用于头颈部重建的挽救手术
Plast Reconstr Surg Glob Open. 2024 Oct 11;12(10):e6199. doi: 10.1097/GOX.0000000000006199. eCollection 2024 Oct.
2
Continuous validity of pedicled myocutaneous and myofascial flaps in reconstruction after surgery for head and neck cancer.带蒂肌皮瓣和肌筋膜瓣在头颈癌术后重建中的持续有效性。
J Egypt Natl Canc Inst. 2009 Sep;21(3):249-63.
3
Application of Three Different Types of Pedicled Latissimus Dorsi Flaps in Repairing Nearby Deep Soft Tissue Defects: Cosmetic Result and Shoulder Functionality Evaluation in One Center.三种不同类型带蒂背阔肌皮瓣在修复临近深部软组织缺损中的应用：单中心的美容效果及肩部功能评估
Clin Cosmet Investig Dermatol. 2023 Mar 31;16:793-801. doi: 10.2147/CCID.S397618. eCollection 2023.
4
[Effectiveness of posterior intercostal artery perforator flap in repair of donor defect after latissimus dorsi myocutaneous flap transfer].[肋间后动脉穿支皮瓣修复背阔肌肌皮瓣转移术后供区缺损的疗效]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018 Sep 15;32(9):1187-1191. doi: 10.7507/1002-1892.201803046.
5
The Modified Extended Fleur-De-Lis Latissimus Dorsi Flap for Various Complex Multi-directional Large Soft and Bone Tissue Reconstruction.改良扩大的百合花背阔肌皮瓣用于各种复杂的多方向大型软组织和骨组织重建
Cureus. 2020 Feb 12;12(2):e6974. doi: 10.7759/cureus.6974.
6
Free extended anterolateral thigh myocutaneous flap versus combined pedicled pectoralis major-latissimus dorsi myocutaneous flaps in deep and extensive sternal wound reconstruction.游离延长型股前外侧肌皮瓣与联合带蒂胸大肌-背阔肌肌皮瓣在深部广泛胸骨创伤重建中的应用比较。
Microsurgery. 2022 Nov;42(8):810-816. doi: 10.1002/micr.30949. Epub 2022 Aug 8.
7
[Preliminary application of foldable pedicled latissimus dorsi myocutaneous flap for repairing soft tissue defects in shoulder and back].折叠带蒂背阔肌肌皮瓣在肩背部软组织缺损修复中的初步应用
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2024 Jan 15;38(1):69-73. doi: 10.7507/1002-1892.202310013.
8
The pedicled descending branch muscle-sparing latissimus dorsi flap for trunk and upper extremity reconstruction.带蒂降支肌保留背阔肌皮瓣在躯干和上肢重建中的应用。
J Plast Reconstr Aesthet Surg. 2010 Apr;63(4):623-32. doi: 10.1016/j.bjps.2009.01.059. Epub 2009 Mar 20.
9
Development of the pectoral perforator flap and the deltopectoral perforator flap pedicled with the pectoralis major muscle flap.以胸大肌肌瓣为蒂的胸肩峰穿支皮瓣和三角胸肌穿支皮瓣的研制。
Ann Plast Surg. 2013 Oct;71(4):365-71. doi: 10.1097/SAP.0b013e3182503c5d.
10
A novel design of the multilobed latissimus dorsi myocutaneous flap to achieve primary donor-site closure in the reconstruction of large defects.一种新设计的多叶背阔肌肌皮瓣，可在重建大面积缺损时实现供区的一期闭合。
Plast Reconstr Surg. 2013 May;131(5):752e-758e. doi: 10.1097/PRS.0b013e3182865bcc.

本文引用的文献

1
[Research progress of pedicled flaps for defect repair and reconstruction after head and neck tumor resection].[带蒂皮瓣在头颈部肿瘤切除术后缺损修复与重建中的研究进展]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018 Mar 15;32(3):369-376. doi: 10.7507/1002-1892.201710098.
2
Anterior chest wall reconstruction with a low skin paddle pedicled latissimus dorsi flap: a novel flap design.带低位皮瓣的背阔肌肌皮瓣用于前胸壁重建：一种新型皮瓣设计
Plast Reconstr Surg. 2011 Mar;127(3):1206-1211. doi: 10.1097/PRS.0b013e318205f2f7.
3
Anatomical study of latissimus dorsi musculocutaneous flap vascular distribution.
背阔肌肌皮瓣血管分布的解剖学研究。
J Plast Reconstr Aesthet Surg. 2010 Jul;63(7):1091-8. doi: 10.1016/j.bjps.2009.05.042. Epub 2009 Jul 5.
4
Microvascular surgery in the previously operated and irradiated neck.在先前接受过手术和放疗的颈部进行微血管手术。
Microsurgery. 2009;29(1):1-7. doi: 10.1002/micr.20560.
5
The viability of rib grafts transplanted with the periosteal blood supply.带骨膜血供移植的肋骨移植物的存活能力。
Plast Reconstr Surg. 1980 Feb;65(2):140-51. doi: 10.1097/00006534-198002000-00004.
6
The definition of vascular skin territories with prostaglandin E1--the anterior chest, abdomen and thigh-inguinal region.使用前列腺素E1定义的血管性皮肤区域——前胸、腹部及大腿腹股沟区域。
Br J Plast Surg. 1981 Jul;34(3):258-63. doi: 10.1016/0007-1226(81)90004-7.
7
The fasciocutaneous flap: its use in soft tissue defects of the lower leg.筋膜皮瓣：其在小腿软组织缺损中的应用。
Br J Plast Surg. 1981 Apr;34(2):215-20. doi: 10.1016/s0007-1226(81)80097-5.
8
The intramuscular neurovascular anatomy of the latissimus dorsi muscle: the basis for splitting the flap.
Plast Reconstr Surg. 1981 May;67(5):637-41. doi: 10.1097/00006534-198105000-00011.
9
One-stage composite reconstruction using the latissimus myoosteocutaneous free flap.
Am J Surg. 1982 Oct;144(4):470-2. doi: 10.1016/0002-9610(82)90426-3.
10
The functional vascular anatomy of rib.肋骨的功能性血管解剖结构。
Plast Reconstr Surg. 1982 Nov;70(5):578-87. doi: 10.1097/00006534-198211000-00009.