Mahaffey P J, Sommerlad B C
Br J Plast Surg. 1985 Jan;38(1):43-5. doi: 10.1016/0007-1226(85)90085-2.
A number of well-established pedicled flaps, including for example the delto-pectoral and pectoralis major flaps, are used in reconstructive work following excision of head and neck tumours. The most commonly encountered tumours of the head and neck spread predominantly via the lymphatic system and during the time between the insetting of a flap and the division of its pedicle some micro-lymphatic continuity of flow must develop from the site of insertion down the flap to its pedicle. This may form a route for spread of tumour when the primary lesion has been inadequately excised. A case report is presented.
许多成熟的带蒂皮瓣，例如三角肌胸大肌皮瓣，用于头颈部肿瘤切除后的重建工作。头颈部最常见的肿瘤主要通过淋巴系统扩散，在皮瓣植入与其蒂部分离之间的这段时间里，从皮瓣植入部位到其蒂部必须形成某种微淋巴管的连续血流。当原发病变切除不充分时，这可能形成肿瘤扩散的途径。本文报告一例病例。
