Horch R E, Meyer-Marcotty M, Stark G B
Department of Plastic and Hand Surgery, Albert-Ludwigs University, Freiburg, Germany.
Plast Reconstr Surg. 1998 Sep;102(4):1188-92. doi: 10.1097/00006534-199809040-00043.
Preexpansion has become an established technique to prefabricate elective free flap transfers. We report the use of the tensor fasciae latae flap as a donor site in two cases for reconstruction of a burn scar neck contracture and an unstable contralateral below-knee amputation stump, of which other donor sites were ruled out either by the patients' condition or by choice. Implantation and transfer were straightforward and the donor sites of very large flaps were minimized by preexpansion. The preexpanded muscle fasciocutaneous flaps were transplanted with microsurgical anastomoses of the vessels. Apart from a small area of necrosis at the distal tip of the flap developing on the sixth postoperative day, which we excised in a second operation, there were no major complications. The advantages of the combination of preexpansion and free flap transfer as well as the unique anatomical and functional qualities of this musculocutaneous unit are emphasized.
预扩张已成为一种成熟的技术，用于预制选择性游离皮瓣移植。我们报告了两例使用阔筋膜张肌皮瓣作为供区的病例，分别用于烧伤后颈部瘢痕挛缩的重建和对侧不稳定的膝下截肢残端的重建，由于患者的病情或选择，排除了其他供区。植入和转移过程顺利，通过预扩张将非常大的皮瓣供区面积减至最小。预扩张的肌肉筋膜皮瓣通过血管显微吻合进行移植。除了术后第六天皮瓣远端出现一小片坏死区域，我们在第二次手术中进行了切除外，没有出现重大并发症。强调了预扩张与游离皮瓣移植相结合的优点以及该肌皮单位独特的解剖和功能特性。
