The role of non-enhanced angiography in toe tip transfer with small diameter pedicle
The role of non-enhanced angiography in toe tip transfer with small diameter pedicle
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非增强血管造影在小直径蒂趾尖移植术中的作用
DOI：
10.1002/micr.22363
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发表时间：
2014
期刊：
影响因子：
2.1
通讯作者：
Koshima I
中科院分区：
文献类型：
--
作者：
Yoshimatsu H;Yamamoto T;Iwamoto T;Hayashi A;Narushima M;Iida T;Koshima I
复杂的鼻缺损是一个手术挑战，特别是在全层缺损延伸到鼻中隔的情况下。虽然腹壁下浅动脉皮瓣已被广泛应用于软组织填充，但其作为薄皮瓣的报道有限。我们报告一个利用游离薄的SIEA皮瓣重建复杂鼻缺损的病例。一名65岁男性，左鼻和脸颊周围复发性恶性外周神经鞘瘤，接受了广泛的肿瘤切除术，留下了包括鼻中隔、鼻骨和上颌骨部分的全层鼻缺损。一个自由的，薄的SIEA皮瓣被抬高，并通过远端显微解剖蒂初步变薄。然后将皮瓣折叠并插入以闭合鼻中隔和皮肤。皮瓣完全成活，鼻中隔完全闭合。由于SIEA在远端追踪时向浅表层延伸，因此皮瓣的原发性变薄是可能的。我们认为，在旋髂浅动脉系统发育不良的病例中，这种方法可能是旋髂浅动脉穿支皮瓣的替代方法。© 2014 Wiley Periodicals，Inc.显微外科36：66-69，2016年。
Complex nasal defects present a surgical challenge, particularly in cases with a full‐thickness defect that extends into the nasal septum. Although the superficial inferior epigastric artery (SIEA) flap has been widely used as a bulky flap for soft tissue augmentation, reports on its use as a thin flap are limited. We present a case of complex nasal defect reconstruction using a free, thin SIEA flap. A 65‐year‐old man with a recurrent malignant peripheral nerve sheath tumor around the left nose and cheek underwent wide tumor resection, leaving a full‐thickness nasal defect that included portions of the nasal septum, nasal bone, and maxilla. A free, thin SIEA flap was elevated and primarily thinned by microdissecting the pedicle distally. The flap was then folded and inset to close the nasal septum and skin. The flap survived completely and complete closure of the nasal septum was observed. As the SIEA runs toward superficial layers as it is traced distally, primary thinning of the flap is possible. We believe that this method may represent an alternative to the superficial circumflex iliac artery perforator flap in cases in which the superficial circumflex iliac artery system is hypoplastic. © 2014 Wiley Periodicals, Inc. Microsurgery 36:66–69, 2016.