A new phalloplasty technique: the free anterolateral thigh flap phalloplasty
A new phalloplasty technique: the free anterolateral thigh flap phalloplasty
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DOI：
10.1016/j.bjps.2005.05.016
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发表时间：
2006-01-01
影响因子：
2.7
通讯作者：
Felici, A
中科院分区：
文献类型：
--
作者：
Felici, N;Felici, A
经过10年的经验，阴茎成形术在女性交配性别重置手术和超过100例治疗，我们介绍了一种新的技术，创造新的阴茎。在1993年至2002年期间，阴茎成形术在我科使用游离前臂桡侧皮瓣或预扩张耻骨上皮瓣（改良Pryor技术）。对这些病例的长期结果和并发症的研究，由于患者要求新的供区，我们采取了替代皮瓣进行阴茎成形术。由于股前外侧皮瓣的多功能性和供区并发症少，我们将其应用于阴茎成形术，自2003年3月以来，我们共施行了6例游离股前外侧皮瓣阴茎成形术。结果令人鼓舞。新阴茎的形状和一致性是合适的，皮瓣可以感觉和勃起假体可以很容易地植入。阴茎尿道重建可在同一手术阶段完成。病人满意度高。ALT皮瓣的解剖和切取技术已被详尽地描述了几个。本文报道了用游离ALT皮瓣治疗阴茎外翻的手术方法、供区处理、初步结果及并发症。(C)2005年，英国整形外科医生协会。由Elsevier Ltd.出版。保留所有权利。
After a 10-year experience with phalloplasty in female to mate gender reassignment surgery and with more than one hundred cases treated, we have introduced a new technique for creation of the neo-phallus. Between 1993 and 2002, phalloplasties were performed in our department using the free radial forearm flap or the pre-expanded suprapubic flap (modified Pryor technique). The study of long-term results and complications of these cases, as wet( as patient requests for a new donor site, induced us to took for an alternative flap for phalloplasty. The versatility and the low donor site morbidity of anterolateral thigh flap persuaded us to use it for phalloplasty.Since March 2003, six phalloplasties with free anterolateral thigh (ALT) flap have been performed. The results have been encouraging. The shape and the consistency of the neo-phallus are suitable, the flap can be sensate and an erectile prosthesis can easily be implanted. Penile urethral reconstruction is possible in the same operative stage. Patient satisfaction is high.The anatomy and harvesting techniques of ALT flap have already been exhaustively described by several. authors and only the operative technique of phalloptasty with free ALT flap, donor site management, preliminary results and complications are reported in this paper. (C) 2005 The British Association of Plastic Surgeons. Published by Elsevier Ltd. All rights reserved.