Modified Dufourmentel flap, easy to design and tailor to the defect
Modified Dufourmentel flap, easy to design and tailor to the defect
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DOI：
10.1111/1346-8138.13568
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发表时间：
2017-01-01
影响因子：
3.1
通讯作者：
Shimizu, Hiroshi
中科院分区：
文献类型：
--
作者：
Imafuku, Keisuke;Hata, Hiroo;Shimizu, Hiroshi
如何闭合皮肤缺损是皮肤外科医生最重要的考虑因素之一。菱形皮瓣用于许多类型的皮肤缺损。以林贝格和杜福门特尔皮瓣为代表的这种皮瓣，由于它们由直线组成，易于绘制，因此被广泛用于身体的任何部位。然而，这些有价值的技术有缺点，容易在皮瓣的特定区域形成狗耳。因此，我们有才华的前辈修改这些皮瓣，以解决问题。他们设计的改良皮瓣很难绘制，因为改良后的设计是弯曲的，沿着美学线条。学员很难画出这些襟翼。为了解决这个问题，我们已经开发了新的修改菱形皮瓣的基础上Dufourmentel皮瓣。该瓣与Dufourmentel瓣的不同之处在于省略了圆圈上方钻石的上半部分。因此，皮肤上的张力降低，并且不太可能发生狗耳。此外，我们的襟翼是几何形状的，即使是新手也很容易绘制。我们相信我们的皮瓣将是一个有前途的选择，关闭皮肤缺损在任何网站。
How to close skin defects is one of the most important considerations for skin surgeons. Rhomboid flaps are used for many types of skin defect. Such flaps, represented by the Limberg and Dufourmentel flaps, are widely used at any region of the body because they are composed of straight lines and are easy to draw. However, these valuable techniques have the disadvantage of being prone to dog-ears at a particular area of the flap. Therefore, our talented predecessors have modified these flaps in order to resolve the problems. The modified flaps they designed were difficult to draw because the modified designs were curvy and along esthetic lines. It is difficult for trainees to draw these flaps. To address this issue, we have developed newly modified rhomboid flaps that are based on the Dufourmentel flap. This flap is different from the Dufourmentel flap in omitting the top half of the diamond above the circle. Thus, the tension on the skin decreases and dog-ears are less likely to occur. In addition, our flaps are geometric and easily drawn even by novices. We believe our flap will be a promising option for closing skin defects at any site.