Cavadas P C
Center for Reconstructive Surgery, Casa de Salud, Valencia, Spain.
Plast Reconstr Surg. 1997 Jun;99(7):1940-6. doi: 10.1097/00006534-199706000-00020.
The description of blood supply to the skin through the superficial perineural vascular network has led to the concept of neurocutaneous flaps. Based on preexisting anatomic studies, the clinical use of large reversed-flow neurocutaneous saphenous island flaps is described. This flap is based on the arterial axis associated with the saphenous nerve and the greater saphenous vein in the lower leg. The donor area can be closed by soleus muscle advancement over the tibia and skin grafting. Five successful cases are reported with a low complication rate.
通过浅表神经血管网络对皮肤血液供应的描述催生了神经皮瓣的概念。基于先前的解剖学研究,本文描述了大型反流隐神经皮岛瓣的临床应用。该皮瓣以小腿部与隐神经和大隐静脉相关的动脉轴为基础。供区可通过比目鱼肌向胫骨推进并植皮来闭合。报告了5例成功病例,并发症发生率较低。