Hallock G G
Division of Plastic Surgery, Lehigh Valley Hospital, Allentown, PA.
Ann Plast Surg. 1993 Apr;30(4):359-62. doi: 10.1097/00000637-199304000-00013.
Previously overlooked, the concept of a triceps muscle flap has been recently proven valid. By using only the long head portion, necessary function preservation may be achieved. A distinct proximal neurovascular source to this component alone allows an axis of rotation at the level of the teres major muscle. This permits transposition either in an anterior or posterior direction as a local muscle flap that has usefulness, albeit in a secondary role, for axillary reconstruction such as commonly required as a sequela to burn contracture.
先前被忽视的肱三头肌肌瓣概念最近已被证明是有效的。仅使用长头部分,就可以实现必要的功能保留。单独为该部分提供独特的近端神经血管来源,使得在大圆肌水平有一个旋转轴。这允许其作为局部肌瓣向前或向后移位,尽管是次要作用,但对于腋窝重建(如烧伤挛缩后遗症常见的那样)是有用的。