Meyer C, Blucher G, Bruand-Rodier C, Wilk A
Service de Chirurgie Plastique et Maxillo-Faciale, Hôpitaux Universitaires de Strasbourg, France.
Ann Chir Plast Esthet. 1998 Jun;43(3):269-74.
The authors report a new local combined flap involving the distally based Latissimus dorsi muscle pedicled on the lumber perforating arteries and prolonged by the last three digitations of the Serratus anterior muscle supplied by the thoracic branch of the thoraco-dorsal artery. This artifice, never previously described, increased the bulk and arc of rotation of the dorsalis flap. It was thus possible to cover a wide defect on the posterior aspect of the sacro-iliac region in a patient previously operated for a highly malignant histiocytofibroma. The anatomic considerations, harvesting technique and advantages and drawbacks of this flap are discussed.
作者报告了一种新的局部联合皮瓣，该皮瓣以腰穿支动脉为蒂的背阔肌远端为基础，并由胸背动脉胸支供应的前锯肌最后三个肌齿延长。这种此前从未描述过的技术增加了背阔肌皮瓣的体积和旋转弧度。因此，对于一名先前因高度恶性组织细胞纤维瘤接受手术的患者，能够覆盖骶髂区域后方的大面积缺损。本文讨论了该皮瓣的解剖学考量、切取技术以及优缺点。
