Ohsumi N, Shimamoto R, Tsukagoshi T
Division of Plastic and Reconstructive Surgery, Matsudo City Hospital, Japan.
Plast Reconstr Surg. 1994 Aug;94(2):372-8. doi: 10.1097/00006534-199408000-00026.
Reconstruction of bone and soft-tissue defects of the forehead and leg was done with use of a free latissimus dorsi muscle-rib flap. By utilizing the curve characteristic of the rib and by filling the cavity with latissimus dorsi muscle, the forehead could be restored in a good shape. In our application of this flap to the leg, it is considered in retrospect that reconstruction with the use of two ribs should have been done. Furthermore, it was concluded that in comparison with the heretofore employed vascularized rib graft, the scope of operative invasion is small in the use of this flap with hardly any risk of thoracostomy.
采用游离背阔肌-肋骨皮瓣修复额部和腿部的骨与软组织缺损。利用肋骨的曲线特点，并用背阔肌填充腔隙，可使额部恢复良好形态。在我们将此皮瓣应用于腿部时，回顾认为本应采用两根肋骨进行修复。此外，得出的结论是，与迄今使用的带血管蒂肋骨移植相比，使用该皮瓣手术侵袭范围小，几乎没有胸廓切开的风险。
