Efficacy analysis of using free-style perforator pedicled propeller flap to repair the wound of skin malignant tumor on the shoulder and back
10.3760/cma.j.cn114453-20200217-00049
- VernacularTitle:自由设计穿支蒂螺旋桨皮瓣修复肩背部皮肤恶性肿瘤创面的疗效分析
- Author:
Yangjian WANG
1
;
Zuguang HUA
;
Peng WEI
;
Yi XU
;
Youjia XU
;
Tiantian REN
Author Information
1. 苏州大学附属第二医院骨科 215000；宁波市第一医院整形修复重建外科 315010
- Keywords:
Surgical flap;
Perforator flap;
Neoplasms;
Reconstructive surgical procedures;
Free-style
- From:
Chinese Journal of Plastic Surgery
2020;36(9):994-999
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the feasibility and effect of using free-style perforator pedicled propeller flap to repair the wound after extended resection of skin malignant tumor on the shoulder and back.Methods:From December 2017 to June 2019, 9 patients (7 males and 2 females, aged from 51 to 84 years, with an average age of 67.5 years) with skin malignant tumor of the shoulder and back were treated in the Department of Plastic and Reconstructive Surgery of Ningbo First Hospital.The etiologies included squamous cell carcinoma( n=4), basal cell carcinoma( n=3), skin juga fibrosarcoma( n=1) and malignant melanoma( n=1). Color Doppler ultrasound was used to detect and mark the perforating vessels before operation. After extended resection was performed, intraoperative frozen section identified pathological diagnosis, while also ensured margin and base being tumor-free. The defect size ranged from 3.0 cm×7.0 cm to 8.0 cm×9.0 cm. According to the wound size and shape, the perforator pedicled propeller flap ranged from 3.0 cm×10.0 cm to 8.0 cm×12.0 cm was designed to repair the wound. The donor area was closed directly. Results:All 9 flaps survived with primary wound healing in donor and recipient areas. Follow-up for 5-20 months showed no tumor recurrence and there was no obvious bulky and scar formation. The movement of left shoulder joint was smooth.Conclusions:The blood supply of the shoulder and back is extensive, and the skin perforating vessels are abundant. Free-style perforator pedicled propeller flap on the shoulder and back is a simple technique. It is an ideal flap to repair the wound defect after extended resection of skin malignant tumor on the shoulder and back.
