Clinical application of perforator flaps in chest wounds repair
10.3760/cma.j.cn114453-20200116-00014
- VernacularTitle:躯干部穿支皮瓣在胸部创面修复中的应用
- Author:
Guangqi XU
1
;
Zhiyu LI
;
Ran HUO
;
Renrong LYU
;
Jian ZHANG
;
Jianhai BI
Author Information
1. 山东第一医科大学附属省立医院整形美容外科，济南 250021
- Keywords:
Surgical flaps;
Perforator flap;
Angiography;
Wounds and injuries;
Thoracic wall
- From:
Chinese Journal of Plastic Surgery
2020;36(9):1024-1028
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application and choice of trunk perforator flaps in chest wound repair.Methods:From May 2015 to December 2019, clinical data of 14 patients using trunk perforator flap for chest soft tissue defect repair were reviewed. They were 8 males and 6 females, aged from 17 to 74 years. 5 patients had wound after scar surgery. 6 patients had benign lesions, and 3 patients had malignant tumors. The size of tissue defects ranged from 6.0 cm×8.0 cm-20.0 cm×21.0 cm. The perforator flaps were designed to repair different wounds. Preoperatively, the perforators are identified by ultrasound or CTA, and the flap scope and surgical approach are designed according to the perforator alignment and the perforated muscle point. Postoperatively, the survival of the flap was observed and followed up for at least 6 months.Results:All 17 flaps of 14 patients survived. The flap area was 7.0 cm × 8.0 cm-22.0 cm × 22.0 cm, and the length of the pedicle was 2.0-6.0 cm. All patients were followed up for 6 to 26 months with satisfied result . Recurrence occurred in one of the patients with thoracic dermatofibrosarcoma protuberans.Conclusions:The perforator artery of the trunk is densely and easy to obtain. The combined flaps could be used to repair large chest defects. The first-stage suture of the donor area, so it meets the organization transplantation principle of "the repair is perfect, the damage is small" .
