Martin D, Legaillard P, Bakhach J, Hu W, Peres J M, Rivet D, Baudet J
Service de Chirurgie Plastique et Reconstructrice, Hôpital du Tondu, Bordeaux.
Ann Chir Plast Esthet. 1994 Jun;39(3):321-6.
The authors present a new application of the procedure they called the "reverse flow YV pedicle extension" which allows a very distal pedicled mobilisation of the lateral arm flap. Until now, only the distally based lateral arm flap and the ulnar recurrent fascicutaneous island flap could to be transferred distally but reached only the proximal third of the forearm. In our experience these flaps did not seem to be very reliable. Lengthening of the lateral arm flap pedicle using the lateral triceps artery (branch arising from the profunda brachii artery) allows the lateral arm flap to be transferred beyond the distal third of the forearm. This so-called "extreme" lateral arm flap has advantages and disadvantages which are discussed in this paper. We consider cutaneous or osteocutaneous reconstructions of the forearm to be the best indication for this flap. Our first clinical case is reported.
作者介绍了一种他们称之为“反流YV蒂延长术”的新应用，该方法可实现上臂外侧皮瓣非常远端的带蒂移动。到目前为止，只有远端蒂的上臂外侧皮瓣和尺侧返支筋膜皮岛状皮瓣能够向远端转移，但仅能到达前臂的近端三分之一。根据我们的经验，这些皮瓣似乎不太可靠。利用肱三头肌外侧动脉（肱深动脉的分支）延长上臂外侧皮瓣的蒂，可使上臂外侧皮瓣转移至前臂远端三分之一以远。本文讨论了这种所谓的“超远端”上臂外侧皮瓣的优缺点。我们认为前臂的皮肤或骨皮重建是该皮瓣的最佳适应证。本文报告了我们的首例临床病例。
