Abbase E A, Shenaq S M, Spira M, el-Falaky M H
Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas, USA.
Plast Reconstr Surg. 1995 Oct;96(5):1218-25.
Prefabricated flaps are a useful tool for the reconstructive surgeon and present a number of advantages: 1. Specific preferred tissue composites, regardless of their native vascular origin, can be transferred as free or pedicled flaps. 2. Larger flaps of specialized tissue may be transferred safely. 3. Donor-site morbidity is reduced. 4. The functional outcome for the patients may be more satisfactory. The various methods of flap prefabrication include vascular induction through stage transfer; pretransfer delay, expansion, and grafting; the use of alloplastic materials; and tissue bioengineering. We have reviewed both the experimental and clinical research on flap prefabrication, describing the theory, technique, and advantages of each method.
预制皮瓣是重建外科医生的一项有用工具，具有诸多优点：1. 特定的优选组织复合物，无论其原生血管来源如何，均可作为游离或带蒂皮瓣进行转移。2. 更大的特殊组织皮瓣可安全转移。3. 供区并发症减少。4. 患者的功能结局可能更令人满意。皮瓣预制的各种方法包括通过分期转移进行血管诱导；转移前延迟、扩张和移植；使用异体材料；以及组织生物工程。我们回顾了皮瓣预制的实验和临床研究，描述了每种方法的理论、技术和优点。
