Koshima I, Hosoda M, Moriguchi T, Hamanaka T, Kawata S, Hata T
Department of Plastic and Reconstructive Surgery, Kawaski Medical School, Okayama, Japan.
Ann Plast Surg. 1993 Aug;31(2):175-80. doi: 10.1097/00000637-199308000-00018.
A triple combined anterolateral thigh flap, anteromedial thigh flap, and vascularized iliac bone graft was used for reconstruction of a full-thickness defect of the mental region after wide resection of advanced tongue cancer. The distal end of the pedicle vessels of these double skin flaps, i.e., the lateral circumflex femoral system, was directly anastomosed in tandem to the pedicle of the iliac bone graft, which was enveloped by these flaps. The advantages of this iliac osteocutaneous flap are as follows: It can be transferred within a shorter surgical time because the flaps can be obtained in the supine position simultaneously with tumor resectioning; and its skin components can be separated from the bone because each component has its own pedicle vessels, has a longer vascular pedicle (> 10 cm), and has a thicker crest of the bone graft. This flap is believed to be suitable for reconstruction of large full-thickness defects in various sizes of the mandibular and maxillary regions of the face.
采用股前外侧皮瓣、股内侧皮瓣和带血管蒂髂骨移植三联组合，对晚期舌癌广泛切除术后颏部全层缺损进行修复。这两个皮瓣的蒂血管远端，即旋股外侧血管系统，直接依次与被这些皮瓣包裹的髂骨移植蒂进行吻合。这种髂骨皮瓣的优点如下：由于皮瓣可在仰卧位与肿瘤切除同时获取，因此可在较短手术时间内完成移植；而且其皮肤成分可与骨分离，因为每个成分都有自己的蒂血管，血管蒂较长（>10厘米），骨移植嵴较厚。该皮瓣被认为适用于修复面部下颌和上颌区域各种大小的大型全层缺损。
