Effect of 3D-CTA assistant the post-burn limb reconstruction by free scapular flap
10.3760/cma.j.cn114453-20190219-00051
- VernacularTitle:三维CT血管造影辅助下游离肩胛皮瓣修复肢体深度烧伤创面
- Author:
Wenguo MA
1
;
Chengde WANG
;
Ai WANG
;
Tingli WANG
Author Information
1. 山东省潍坊市益都中心医院烧伤整形外科 262500
- Keywords:
Three dimensional computerized tomography angiography;
Scapular flap;
Deep burn wounds;
Limb
- From:
Chinese Journal of Plastic Surgery
2020;36(4):434-436
- CountryChina
- Language:Chinese
-
Abstract:
Objective:With the help of computed tomographic angiography and three dimensional technique, to explore to clinical application of the free scapular flap.Methods:From January 2013 to June 2018, 21 cases of deep post-burn wounds of limbs were repaired with free scapular flaps. 3D-CTA examinations were performed before operation, and the personalized reconstructions were designed according to different shape and size of the defects in the recipient sites. The outcome, color, texture, scar contracture and dysfunction of the flaps were observed.Results:The 3D-CTA technique was able to define the anatomical structure of the donor and recipient area before the operation. During the operation, it was found that the course and distribution of blood vessels were basically consistent with the design before the operation. 21 flaps survived after the operation. During the follow-up of half a year to one year, the color, texture, and appearance of the flap recovered satisfactorily, the function of the affected limb activity recovered, no obvious scar hyperplasia was found in the dorsal donor area, and the function of the shoulder joint was normal.Conclusions:The free scapular flap is one of the ideal methods to repair the deep burn wounds of limbs, which has reliable blood supply, wide range of incision, convenient operation, no damage to the main blood vessels and concealed donor areas. 3D-CTA examination before operation guided the design and implementation of operation scheme, which improved the accuracy of intraoperative vascular anastomosis.
