Dewolf V, Guerif V, Bich C-S, Duhoux A, Duhamel P, Brachet M, Bey E
Service de Chirurgie Plastique et Reconstructrice, Hôpital d'Instruction des Armée Percy, 2 Rue Lieutenant Raoul Batany, 92140 Clamart, France.
Ann Burns Fire Disasters. 2025 Mar 31;38(1):71-76. eCollection 2025 Mar.
After extensive use for head and neck reconstruction, the deltopectoral (DP) flap has been supplanted by alternative methods of reconstruction and relegated to historical references. However, we presented, in a previous article, this very valuable skin flap for postburn head and neck reconstruction. Here, we report three cases of neck reconstruction using a technical variation of the DP flap: the pre-expanded internal mammary artery perforator (IMAP) flap. Technical simplicity and reliability are the main features of this flap. The advantages of the pre-expanded IMAP flap technique lie above all in its prior expansion. The plastic qualities of the skin paddle, autonomy for the distal part of the flap, reduction in donor site morbidity and avoiding the classic secondary division of the DP flap, are the benefits of this technique. It is an excellent indication for postburn neck reconstruction, especially vertical scar contractures.
在广泛用于头颈部重建后，胸三角（DP）皮瓣已被其他重建方法所取代，仅存于历史文献之中。然而，我们曾在之前的一篇文章中介绍过这种对烧伤后头颈部重建非常有价值的皮瓣。在此，我们报告3例采用DP皮瓣技术变异——预扩张胸廓内动脉穿支（IMAP）皮瓣进行颈部重建的病例。该皮瓣的主要特点是技术操作简单且可靠。预扩张IMAP皮瓣技术的优势首先在于其预先扩张。皮瓣的可塑性、皮瓣远端的自主性、供区并发症的减少以及避免DP皮瓣经典的二期断蒂，都是该技术的优点。它是烧伤后颈部重建的极佳适应证，尤其是垂直瘢痕挛缩。
