Kobienia B J, Migliori M, Schubert W
Division of Plastic Surgery, University of Minnesota, St. Paul-Ramsey Medical Center 55101, USA.
Ann Plast Surg. 1996 Dec;37(6):629-32. doi: 10.1097/00000637-199612000-00010.
The radial forearm flap is a versatile tool for the reconstructive surgeon because of its thinness, durable skin quality, aesthetic match, and relative ease of dissection. This flap is an ideal candidate for reconstruction of head and neck defects. One of the drawbacks is its relative small size, which may limit its use in certain applications. We describe the preexpansion of the radial forearm flap for its use in covering a large scalp defect. Preexpansion of the radial forearm free flap enables the reconstructive surgeon to increase the size of the flap markedly without altering its neurovascular anatomic relationships. Also described is the unexpected benefit of a periprosthetic capsule that covers the flexor tendons of the forearm and acts as an excellent bed for a skin graft.
桡侧前臂皮瓣因其薄度、耐用的皮肤质量、美学匹配度以及相对易于解剖，成为重建外科医生的一种多功能工具。该皮瓣是头颈部缺损重建的理想选择。其缺点之一是相对较小的尺寸，这可能限制其在某些应用中的使用。我们描述了用于覆盖大面积头皮缺损的桡侧前臂皮瓣预扩张技术。桡侧前臂游离皮瓣预扩张使重建外科医生能够显著增加皮瓣尺寸，同时不改变其神经血管解剖关系。还描述了一种意外的益处，即覆盖前臂屈肌腱的假体周围囊，它可作为皮肤移植的优良床。
