Kaplan E N, Pearl R M
Ann Plast Surg. 1980 Mar;4(3):205-15.
We describe the vascular distribution to the skin of the arm as determined by cadaver dye injections and anatomical dissection. The superior ulnar collateral cutaneous artery provides a direct cutaneous branch that supplies the proximal two-thirds of the medial arm. An arterialized flap from the medial arm is very thin, elastic, and hairless--therefore excellent for hand resurfacing and facial reconstruction. Five examples of the use of arm skin from 21 patients using local and distant flaps are shown. The indications, methods, and anatomical bases for flap delay are detailed. The Doppler flow meter is used to determine artery position.
我们描述了通过尸体染料注射和解剖确定的手臂皮肤的血管分布。尺侧上副皮动脉发出一支直接皮支，供应上臂内侧近端三分之二的区域。上臂内侧的动脉化皮瓣非常薄、有弹性且无毛，因此非常适合手部皮肤修复和面部重建。展示了21例患者中使用局部和远位皮瓣的5例上臂皮肤应用实例。详细说明了皮瓣延迟的适应证、方法和解剖学基础。使用多普勒流量计确定动脉位置。
