Martin D, De Biscop J P, Mondie J M, Baudet J, Peri G
Department of Plastic and Reconstructive Surgery, Hôpital du Tondu, Bordeaux, France.
J Reconstr Microsurg. 1993 Nov;9(6):387-96; discussion 397-8. doi: 10.1055/s-2007-1006747.
The authors present the osteocutaneous upper arm flap as useful in segmental microsurgical mandibular reconstructions. This flap presents several advantages: easy and rapid dissection; a long and reliable pedicle; excellent segmental blood supply to the bone, allowing multiple osteotomies; remarkable mobility of the skin paddle relating to the underlying bone; and minimal donor-site morbidity. Among its few disadvantages are that the bone is predominantly cortical, and the bone shaft cannot exceed 11 x 2 cm. Nevertheless, this flap is an excellent alternative to conventional procedures, when a segmental reconstruction, requiring short bone segments and skin, is required. Eight consecutive clinical cases have been successfully treated and are reported.
作者们提出，骨皮瓣在上颌骨节段性显微外科重建中是有用的。该皮瓣具有几个优点：解剖容易且迅速；蒂长且可靠；骨的节段性血供良好，允许进行多处截骨；皮瓣相对于其下方的骨具有显著的活动度；供区并发症极少。其少数缺点包括骨主要为皮质骨，骨干不能超过11×2厘米。然而，当需要进行需要短骨段和皮肤的节段性重建时，该皮瓣是传统手术的极佳替代方案。已成功治疗并报告了连续8例临床病例。
