Aköz T, Erdoğan B, Görgü M, Kapucu M R, Kargi E
Ankara Numune Hospital, Department of Plastic and Reconstructive Surgery, Turkey.
Scand J Urol Nephrol. 1998 May;32(3):225-30. doi: 10.1080/003655998750015647.
The purpose of this report is to describe the use of a double vascular pedicle composite groin flap for penile reconstruction in children. The flap was composed of skin, soft tissue and iliac crest bone. Both deep and superficial circumflex iliac vessels were included in the pedicle to ensure a well-vascularized extended skin and bone in the flap. The procedure was carried out in two stages to allow for the prefabrication of a neourethra which was reconstructed in the flap using a full-thickness skin graft, prior to the transfer of the flap. The large skin island and bone with a dual blood supply enabled reconstruction of the penis of appropriate size and stiffness without vascular compromise. Two boys, aged 8 and 10 years, were treated successfully with this method and followed clinically for 4-12 months.
本报告的目的是描述一种双血管蒂复合腹股沟皮瓣在儿童阴茎重建中的应用。该皮瓣由皮肤、软组织和髂嵴骨组成。蒂部包含旋髂深血管和旋髂浅血管，以确保皮瓣中有血运良好的扩展皮肤和骨骼。手术分两个阶段进行，以便在皮瓣转移前预制新尿道，新尿道采用全厚皮片在皮瓣中重建。具有双重血供的大皮岛和骨骼能够在不影响血运的情况下重建大小和硬度合适的阴茎。两名年龄分别为8岁和10岁的男孩成功接受了该方法治疗，并进行了4至12个月的临床随访。
