Anthony J P, Ritter E F, Young D M, Singer M I
Department of Otolaryngology, University of California, San Francisco.
Ann Plast Surg. 1993 Aug;31(2):106-11. doi: 10.1097/00000637-199308000-00003.
Although the fibula osteocutaneous free flap has many advantages when used in mandibular reconstruction, many investigators have found the skin island is not always reliable. We present a technique that enhances skin island reliability by including a maximal number of skin perforators. This method has been used in 10 consecutive osteocutaneous free flaps without any skin loss. This technique also expands the usefulness of the fibula free flap, allowing it to be used for shorter bone defects or in cases when skin coverage is needed at a distance from the bone. In addition, this method provides additional vascularized soft tissue for neck contour restoration and coverage of fixation plates.
尽管腓骨骨皮瓣在用于下颌骨重建时具有许多优点，但许多研究者发现皮岛并不总是可靠的。我们提出一种通过纳入最大数量的皮肤穿支来提高皮岛可靠性的技术。该方法已连续应用于10例骨皮游离瓣，未出现任何皮肤丢失情况。该技术还扩大了游离腓骨瓣的应用范围，使其可用于较短的骨缺损或需要在距骨一定距离处进行皮肤覆盖的病例。此外，该方法为颈部轮廓修复和固定钢板覆盖提供了额外的带血管软组织。
