Lamberty B G, Cormack G C
Br J Plast Surg. 1983 Jan;36(1):60-3. doi: 10.1016/0007-1226(83)90013-9.
Various authors have reported different failure rates for the cervico-humeral flap. An attempt is made to explain these occurrences in the light of recent experimental and clinical work which has increased our knowledge of the detailed blood supply of the supraclavicular fossa and shoulder region. In particular, the role of a fascio-cutaneous vessel in the supply of a proximally based shoulder flap is stressed. Division of this vessel may occur during proximal mobilisation of the cervico-humeral flap. This fundamentally alters the nature of the flap and may be the key to the varying failure rates. The implications of this for fascio-cutaneous flaps in general are discussed.
不同作者报道了颈肱皮瓣不同的失败率。本文试图根据最近的实验和临床研究来解释这些情况，这些研究增加了我们对锁骨上窝和肩部区域详细血供的了解。特别是，强调了筋膜皮血管在近端蒂肩部皮瓣供血中的作用。在颈肱皮瓣近端游离过程中可能会切断该血管。这从根本上改变了皮瓣的性质，可能是失败率各异的关键所在。本文还讨论了这一情况对一般筋膜皮瓣的影响。
