“Pac Man” Flap for Closure of Pressure Sores
“Pac Man” Flap for Closure of Pressure Sores
复制标题
用于闭合压疮的“吃豆人”皮瓣
DOI：
10.1097/00000637-200104000-00012
复制
发表时间：
2001
影响因子：
1.5
通讯作者：
Ö. Şensöz
中科院分区：
文献类型：
--
作者：
Ì. Akan;N. Sungur;Ragıp Özdemi;H. Kılınç;Ö. Şensöz
本研究的目的是改进经典的双侧V-Y推进皮瓣手术，以减少其关闭时的张力，并通过指间皮瓣打破中线垂直疤痕。压疮清创后，在伤口两侧标记V-Y瓣。皮肤切口沿皮瓣两侧向下延伸至肌筋膜。v型皮瓣的上肢和下肢被抬高为三角形皮瓣，但仍与主皮瓣相连。其中一个皮瓣的上肢尖端被转置到缺损处，并在其面向缺损凹侧的中点缝合到对侧V-Y皮瓣。然后将对侧皮瓣的下肢转位到缺损处并与第一个V-Y皮瓣缝合。为了完成指间闭合，将第一个皮瓣的下肢缝合在对侧皮瓣的下方，将对侧皮瓣的上肢缝合在第一个皮瓣的上方。皮瓣的最终视图类似于“吃豆人”，所以作者决定称这种皮瓣为“吃豆人”皮瓣。所有患者皮瓣均愈合良好，随访3 ~ 14个月未见创面破裂或压疮复发。
The purpose of this study was to modify the classic bilateral V-Y advancement flap procedure to decrease the tension in its closure and to break the midline vertical scar by interdigitating the flaps. After debridement of a pressure sore, the V-Y flaps were marked on both sides of the wound. Skin incisions were carried down to the muscle fascia along the sides of the flaps. The upper and lower limbs of the V-shaped flaps were elevated as triangular flaps but remained attached to the main flap. The tip of the upper limb of one of the flaps was transposed into the defect and sutured to the contralateral V-Y flap at the midpoint of its concave side facing the defect. The lower limb of the contralateral flap was then transposed into the defect and sutured to the first V-Y flap. To complete the interdigitated closure, the lower limb of the first flap was sutured below the contralateral flap, and the upper limb of the contralateral flap was sutured above the first flap. The final view of the flaps was similar to “Pac Man,” so the authors decided to call this flap the Pac Man flap. The flaps healed well in all patients, and wound breakdown or recurrence of the pressure sore was not observed during the 3 to 14-month follow-up.