Hasegawa M, Torii S, Katoh H, Esaki S
Department of Plastic and Reconstructive Surgery, Nagoya University School of Medicine, Japan.
Plast Reconstr Surg. 1994 Apr;93(5):1012-20. doi: 10.1097/00006534-199404001-00016.
The distally based superficial sural artery flap, first described as a distally based neuroskin flap by Masquelet et al., is a skin island flap supplied by the vascular axis of the sural nerve. The aim of this paper is to refine the surgical technique in order to establish the reliability of this flap. We treated 20 patients with 21 distally based superficial sural artery flaps, including 2 fascial flaps. All flaps survived. Most flaps showed slight venous congestion. In the largest flap (10 cm wide by 13 cm long), edema lasted 2 months. In the flap whose pedicle was raised without the deep fascia, there was necrosis at the distal tip of the flap. The advantages are the following: The blood supply is reliable, elevation is easy and quick, and major arteries are not sacrificed. This new flap may be useful in selected circumstances.
远端蒂腓肠浅动脉皮瓣最初由马斯克莱等人描述为远端蒂神经皮瓣，是一种由腓肠神经血管轴供血的皮岛瓣。本文旨在改进手术技术，以确定该皮瓣的可靠性。我们对20例患者采用了21个远端蒂腓肠浅动脉皮瓣进行治疗，其中包括2个筋膜瓣。所有皮瓣均存活。大多数皮瓣出现轻度静脉淤血。在最大的皮瓣（宽10厘米，长13厘米）中，水肿持续了2个月。在蒂部未带深筋膜掀起的皮瓣中，皮瓣远端尖端出现坏死。其优点如下：血供可靠，掀起容易且迅速，不牺牲主要动脉。这种新皮瓣在特定情况下可能有用。
