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[采用带桡动脉Ⅱ型微血管的前臂皮瓣修复成年患者腭裂]

[Closure of cleft palate in adult patients, using a forearm flap with microvascular radial artery II].

作者信息

Barabás J, Szabó G

机构信息

Semmelweis Orvostudományi Egyetem, Szájsebészeti és Fogászati Klinika, Budapest.

出版信息

Fogorv Sz. 1993 Mar;86(3):71-6.

PMID:8243727
Abstract

A clinical report on the utilization of the so called "Chinese Flap" first published in 1981 is presented by the authors. The basic principle of this method is the following: After closing the soft palate in three layers, a mucoperiosteal flap has been prepared from the palatal mucosa and rotated into the nasal cavity so to close nasally the defect in one layer. Than a pediculated fasciocutaneous flap containing both the radial artery and the two comitantes veins prepared from the forearm was sutured to the defect. The a radialis and the v. comitantes running forward and downward between the two layers of the soft palate passing the mandibular ramus and descending through a tunnel leading to the submandibular region were joined to the facial artery and veins and an anastomosis was established. The clinical experience with the "Chinese Flap" procedure showed good results. This method has been used in 12 cases so far and only one out of the 12 failed due to blood vessel developmental abnormalities.

摘要

作者发表了一篇关于所谓“中国皮瓣”应用的临床报告,该报告首次发表于1981年。此方法的基本原理如下:在分三层关闭软腭后,从腭黏膜制备一块黏骨膜瓣并旋转至鼻腔,以便在鼻腔内一次性关闭缺损。然后,将一块包含桡动脉和两条伴行静脉的带蒂筋膜皮瓣从前臂制备出来并缝合至缺损处。向前下方走行于软腭两层之间、经过下颌支并通过一条通向颌下区域的隧道下行的桡动脉和伴行静脉,与面动脉和静脉相连并建立吻合。“中国皮瓣”手术的临床经验显示出良好效果。该方法迄今已应用于12例患者,12例中仅有1例因血管发育异常而失败。

相似文献

1
[Closure of cleft palate in adult patients, using a forearm flap with microvascular radial artery II].[采用带桡动脉Ⅱ型微血管的前臂皮瓣修复成年患者腭裂]
Fogorv Sz. 1993 Mar;86(3):71-6.
2
[Closure of cleft palate in adults using a microvascular radial artery flap from the forearm. I].[使用来自前臂的微血管桡动脉皮瓣修复成人腭裂。I]
Fogorv Sz. 1993 Feb;86(2):39-43.
3
Two-layer closure of a wide palatal cleft.宽腭裂的双层缝合
Cleft Palate J. 1981 Apr;18(2):110-5.
4
Internal arteriovenous fistula within a radial forearm flap--a novel technique to increase femorodistal bypass graft flow to the diabetic foot and flap covering ischaemic tissue loss.桡侧前臂皮瓣内的动静脉内瘘——一种增加股-远端旁路移植术血流量以治疗糖尿病足及覆盖缺血性组织缺损皮瓣的新技术。
Eur J Vasc Endovasc Surg. 2006 Apr;31(4):423-30. doi: 10.1016/j.ejvs.2005.05.006. Epub 2006 Feb 7.
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The use of buccal flap in the closure of posterior post-palatoplasty fistula.颊瓣在腭裂术后腭后瘘封闭中的应用。
Int J Pediatr Otorhinolaryngol. 2008 Nov;72(11):1657-61. doi: 10.1016/j.ijporl.2008.07.020. Epub 2008 Sep 23.
6
The retrograde radial fascial forearm flap: surgical rationale, technique, and clinical application.
J Hand Surg Am. 1995 Nov;20(6):915-22. doi: 10.1016/S0363-5023(05)80137-6.
7
[Radial artery flap].[桡动脉皮瓣]
Tidsskr Nor Laegeforen. 1989 Feb 20;109(5):593-4.
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The distally based radial artery/flexor carpi radialis muscle flap for dorsal hand reconstruction: a clinical and cadaver study.以远端为蒂的桡动脉/桡侧腕屈肌肌皮瓣用于手背重建:一项临床与尸体研究。
J Hand Surg Am. 2002 Nov;27(6):1081-6. doi: 10.1053/jhsu.2002.35869.
9
[Free forearm skin flaps with microvascular anastomosis for pharyngeal reconstruction].
Otolaryngol Pol. 2000;54(1):29-31.
10
[A preliminary report of cleft palate repair by rotation and advancement of full thickness soft palate].[软腭全层旋转推进腭裂修复术的初步报告]
Zhonghua Kou Qiang Yi Xue Za Zhi. 2000 Mar;35(2):110-1.

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