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111.
112.
Summary Treatment of cancer of the cervical aerodigestive tract is challenging due in part to the difficulty in reestablishment of pharyngoesophageal continuity after resection of the involved tract. From May 1989 to August 1990, six patients underwent immediate reconstruction utilizing microvascular transfer of free radial forearm flaps following resection of pharyngoesophageal neoplasms. A small island flap connected to the radial vascular pedicle by fasciocutaneous branch was used to monitor the vascular condition of the hidden fabricated free forearm flap. Stricture is the most troublesome complication of esophageal reconstruction using a conventional free forearm flap. Two small triangular flaps were designed and inserted bilaterally in the distal anastomosis of both lateral esophageal walls to prevent circular contracture. The outer layer sutures were anchored to surrounding rigid structures to withstand shrinkage and circular contraction. The problem of stricture was solved by these procedures. This one-stage, easily monitored operation for pharyngoesophageal reconstruction is considered to be as useful as a free jejunal transfer. 相似文献
113.
Summary A case of combined use of bilateral medial thigh skin flaps and gracilis musculocutaneous flaps for the reconstruction of a scrotal defect resulting from Fournier's gangrene is presented. The procedure provided a sac-like scrotum, and the donor sites were successfully reconstructed using bilateral gracilis musculocutaneous V-Y advancement flaps. 相似文献
114.
本文报道应用小腿后侧筋膜皮瓣治疗9例胫前区顽固性溃疡的经验,一期治愈者8例,二次皮瓣转移治愈者1例。随诊6个月至2年,未见溃疡复发。 相似文献
115.
116.
掌背动脉蒂逆行掌骨瓣移位治疗指骨骨折不连接 总被引:2,自引:0,他引:2
为设计以掌背动脉为蒂的逆行掌骨瓣移位,对12侧新鲜成人上肢标本进行解剖观察,发现手的掌背动脉在指蹼处与指革侧总动脉有恒定的吻合支.并发出1~3条小分支至2~5掌骨基底部.临床应用掌背动脉蒂逆行掌骨瓣移位治疗指骨骨折不连接6例,掌骨瓣最大1.2cm×0.5cm×0.5cm,最小0.7cm×0.5cm×0.5cm。指骨均在2.5~3个月内骨性愈合,经术后8~10个月随访,按TAM标准评价,关节功能恢复优良率达80%.本术式提供有血运的活骨,加速骨折愈合,为治疗指骨骨折不连接提供了一个好的手术方法. 相似文献
117.
Preexpanded distant "super-thin" intercostal perforator flaps for facial reconstruction without the need for microsurgery. 总被引:1,自引:0,他引:1
F Lu J H Gao R Ogawa H Hykusoku 《Journal of plastic, reconstructive & aesthetic surgery》2006,59(11):1203-1208
BACKGROUND: Concept of the 'super-thin perforator flap' was introduced in 1994 by authors. Since then, various types of 'super-thin perforator flaps' were applied successfully especially for contour sensitive reconstruction such as face and neck. METHODS: Eleven patients requiring large flaps who presented with extensive disfiguring facial scar (male: seven cases, female: four cases). On the consideration of flaps' colour, texture and thickness requirements, the authors selected 'super-thin' anterior intercostal perforator flaps (AICP, range from 4 x 14 cm to 25 cm x 9 cm) for reconstruction purpose. First, tissue expanders (volume range from 800 cc to 1200 cc) were carefully inserted under the AICP. After the flaps were expanded for 2 months, distant scars were removed and the covering super-thinned flaps were transferred into recipient site. Two weeks later, pedicles in the anterior chest were cut down and flaps were transferred to replace all the left scars. RESULTS: Flap were survived without any complications. The colour, texture and thickness of the transferred flap were satisfactory, shrink of flaps were not observed after long term follow-up. The authors present a method of facial reconstruction that has the advantages of creating a large amount of thin tissue of both good colour and texture, without the need of microsurgery and few disadvantages of donor-site morbidity. The disadvantages are three-staged procedures, complications of tissue expansion and uncomfortable compulsory posture for patients. In our opinion, this is an alternative method of choice for reconstructing all large defects in the lower two-thirds of the face. 相似文献
118.
颞浅筋膜瓣包裹高密度聚乙烯-肋软骨复合支架一期耳廓再造术 总被引:3,自引:1,他引:2
目的探寻耳廓再造的良好手术方法。方法将高密度聚乙烯耳基架与肋软骨外耳轮形成复合支架,支架采用颞浅筋膜瓣包裹,颞浅筋膜瓣的表面采用邻近皮瓣和皮片覆盖,完成耳廓再造。结果自2000年1月至2003年8月利用该方法对8例先天性小耳进行耳廓再造术效果良好。结论通过该方法行耳廓再造,具备良好的外形和一定的弹性,外观逼真,手感良好。 相似文献
119.
120.
带蒂球结膜瓣转移术治疗翼状胬肉 总被引:1,自引:0,他引:1
目的 :探讨带蒂结膜瓣转位移植术治疗翼状胬肉的临床效果。方法 :施行带蒂结膜瓣转位移植术治疗翼状胬伙肉 2 4 0例 ,2 5 2只眼 ,手术在手术显微镜下进行 ,干净彻底切除胬肉组织 ,在上方球结膜制作 4 mm× 10 mm大小 ,外眦端游离 ,内眦端带蒂的菲薄结膜瓣游离端向下须超过胬肉宽度 2 mm,以起拦截作用。移植片与结膜创缘对合 ,缝合 7针~ 10针。结果 :本组翼状胬肉 2 4 0例 ,2 5 2只眼 ,术后随访 6个月~ 5 a,复发 9例 ,占 3.6 % ,取得了较好效果。结论 :本手术取材容易 ,操作简便 ,效果可靠 ,即使在肉眼下亦可施行 ,适合在基层医院开展。 相似文献