A New Design for the Radial Forearm Free‐Flap Phallic Construction
A New Design for the Radial Forearm Free‐Flap Phallic Construction
复制标题
径向前臂自由皮瓣阴茎结构的新设计
DOI：
10.1097/00006534-199308000-00012
复制
发表时间：
1993
影响因子：
3.6
通讯作者：
L. Levine
中科院分区：
文献类型：
--
作者：
L. Gottlieb;L. Levine
1984年首次报道了利用前臂桡侧游离皮瓣一期阴茎再造术。这种潜在的感觉，薄，最低限度的头发轴承皮瓣，其设计包括一个血管化的尿道，提供了显着的优势，比以前描述的多阶段无感觉阴茎重建。如Chang和Hwang所述，最初的设计尺寸有限，并且有发生耳道狭窄的倾向。本文介绍了一种新的设计前臂桡侧皮瓣阴茎再造四例。所描述的技术包括一个位于中央的新尿道与一个新尿道连续。它消除了环形尿道口缝合线，因此，尿道口狭窄，而不牺牲阴茎长度。
One-stage phallic construction using the radial forearm free flap was originally reported in 1984. This potentially sensate, thin, minimally hair-bearing flap, whose design incorporated a vascularized urethra, provided significant advantages over previously described multistaged insensate phallic reconstructions. The original design, as described by Chang and Hwang, is limited in size and has the propensity to develop meatal stenosis. This article describes a new design of the radial forearm flap for phallic construction performed on four patients. The technique described incorporates a centrally located neourethra in continuity with a neoglans. It eliminates the circumferential meatal suture line and, therefore, meatal stenosis without sacrificing phallic length.