面部重建与独特的骨肌皮DCIA穿支皮瓣变异:1例报告。

IF 0.6 4区 医学 Q4 SURGERY European Surgery-Acta Chirurgica Austriaca Pub Date : 2016-01-01 Epub Date: 2015-10-15 DOI:10.1007/s10353-015-0347-3
G Wechselberger, K Schwaiger, J Hachleitner, G Oberascher, F Ensat, L Larcher
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引用次数: 4

摘要

背景:旋髂深动脉解剖变异在应用旋髂深动脉穿支(DCIAP)皮瓣进行面部重建中具有很高的临床价值。方法:我们报告一名76岁的妇女,采用骨肌皮DCIAP皮瓣进行面部重建。我们也回顾了DCIA穿支皮瓣的文献和不同的解剖差异,这可能会带来临床效益。结果:本例患者观察到的解剖结构提供了培养具有高移动性的大皮肤桨叶和长血管蒂并结合可变骨骼肌部分的自由皮瓣变体的可能性。结论:该皮瓣的特点克服了传统DCIAP皮瓣的不足,为颜面重建提供了良好的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Facial reconstruction with a unique osteomyocutaneous DCIA perforator flap variant: a case report.

Background: Anatomical variance of the deep circumflex iliac artery is of high clinical value in facial reconstruction using a deep circumflex iliac artery perforator (DCIAP) flap.

Methods: We present the case of a 76-year-old woman treated with an osteomyocutaneous DCIAP flap variant for facial reconstruction. We also review here the literature on DCIA perforator flaps and the different anatomical variances, which might bring clinical benefits.

Results: The observed anatomy in our patient offered the possibility to raise a free flap variant with high mobility of a large skin paddle and a long vascular pedicle combined with a variable osteomuscular portion.

Conclusion: The characteristics of the flap thus raised help overcome the disadvantages of the conventional DCIAP flap and offer excellent options for facial reconstruction.

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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
36
审稿时长
6-12 weeks
期刊介绍: The journal European Surgery – Acta Chirurgica Austriaca focuses on general surgery, endocrine surgery, thoracic surgery, heart and vascular surgery. Special features include new surgical and endoscopic techniques such as minimally invasive surgery, robot surgery, and advances in surgery-related biotechnology and surgical oncology. The journal especially addresses benign and malignant esophageal diseases, i.e. achalasia, gastroesophageal reflux disease, Barrett’s esophagus, and esophageal adenocarcinoma. In keeping with modern healthcare requirements, the journal’s scope includes inter- and multidisciplinary disease management (diagnosis, therapy and surveillance).
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