Tomita K, Inoue K
Department of Plastic and Reconstructive Surgery, Haibara General Hospital, Shizuoka, Japan.
Ann Plast Surg. 1998 Aug;41(2):191-3. doi: 10.1097/00000637-199808000-00013.
We report a patient in whom herpes zoster developed in the transplanted rectus abdominis musculocutaneous flap 14 months after a chest wall reconstruction for recurrent breast cancer. Based on the distribution of the varicella zoster virus spreading along the sensory nerve fibers, we concluded that the virus spread along the reinnervated sensory nerves from the dorsal ganglia, through the intercostal nerves, and into the flap skin. It is suggested that this finding demonstrates the pathway of reinnervation into the transferred musculocutaneous flap on the chest wall.
我们报告了一名患者，该患者在因复发性乳腺癌进行胸壁重建术后14个月，移植的腹直肌肌皮瓣出现带状疱疹。根据水痘-带状疱疹病毒沿感觉神经纤维传播的分布情况，我们得出结论，该病毒从背根神经节沿重新支配的感觉神经传播，通过肋间神经，进入皮瓣皮肤。提示这一发现显示了重新支配进入胸壁转移肌皮瓣的途径。
