Arnez Z M, Scamp T, Planinsek F, Ahcan U
University Department of Plastic Surgery & Burns, University Medical Center, Ljubljana, Slovenia.
Br J Plast Surg. 1994 Jun;47(4):268-71. doi: 10.1016/0007-1226(94)90010-8.
The scope of the scapular free flap is increased by the development of a further technical variation. The standard scapular flap is lengthened by use of a lateral (axillary) extension, without compromise of shoulder movement. The technique was used in 23 unipedicled and 1 bipedicled free scapular flap transfers in adults and children. An average increase in flap length of 30% was achieved. Lateral extension of the flap facilitates harvesting of the flap and closure of the donor defect. It is particularly useful in cases where shortage of local tissues in flap recipient areas prevents primary closure over the vascular pedicle.
通过进一步改进技术，肩胛游离皮瓣的范围得以扩大。采用外侧（腋侧）延长术可延长标准肩胛皮瓣，且不影响肩部活动。该技术应用于23例单蒂和1例双蒂游离肩胛皮瓣移植手术，患者涵盖成人和儿童。皮瓣长度平均增加了30%。皮瓣的外侧延长便于皮瓣切取及供区缺损的闭合。在皮瓣受区局部组织短缺而无法在血管蒂上方进行一期闭合的情况下，该技术尤为有用。
