Baker S R
Arch Otolaryngol. 1981 Jul;107(7):409-13. doi: 10.1001/archotol.1981.00790430011003.
Clinical reports of free skin flaps that are transferred by microvascular anastomosis have increased in frequency since the introduction of microvascular surgery. The groin flap with its large area of available skin, reliable donor vessels, and favorable donor scar is probably one of the most frequently used free flaps. However, it has a distinct disadvantage with its short vascular pedicle. The free lateral thoracic flap has a longer vascular pedicle and larger-caliber vessels compared with the groin flap. A vascular pedicle that contains vessels, approaching 2 mm in external diameter and up to 10 cm in length, allows greater versatility in head and neck reconstruction. Once the surgeon has become familiar with the vascular anatomy of the lateral thoracic area, free flap harvest requires less time and is simpler relative to the harvest of the free groin flap.
自从微血管外科手术引入以来，通过微血管吻合进行游离皮瓣移植的临床报告频率有所增加。腹股沟皮瓣因其可用皮肤面积大、供区血管可靠且供区瘢痕良好，可能是最常用的游离皮瓣之一。然而，它有一个明显的缺点，即血管蒂短。与腹股沟皮瓣相比，游离胸外侧皮瓣的血管蒂更长，血管口径更大。一个包含外径接近2毫米、长度达10厘米血管的血管蒂，在头颈部重建中具有更大的灵活性。一旦外科医生熟悉了胸外侧区域的血管解剖结构，相对于游离腹股沟皮瓣的切取，游离皮瓣切取所需时间更少且更简单。
