Use propeller perforator flap to repair the skin malignancies wound on the back of the shoulder
10.3760/cma.j.issn.1001-2036.2018.02.005
- VernacularTitle:肩背部穿支螺旋桨皮瓣修复皮肤恶性肿瘤创面的体会
- Author:
Guangfeng SUN
1
;
Bihua WU
;
Kaiyu NIE
;
Jianping QI
;
Wenhu JIN
;
Chengliang DENG
;
Shujun LI
;
Zairong WEI
;
Dali WANG
Author Information
1. 遵义医学院附属医院烧伤整形外科
- Keywords:
Propeller flap,perforator flap;
Wound repair;
Malignant tumor;
Back of the shoulder
- From:
Chinese Journal of Microsurgery
2018;41(2):122-124
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the therapeutic effect of free perforator flap of the humeral back and the healing of the wound after the removal of the malignant tumor.Methods From January,2012 to June,2016,12 cases were treated as soft tissue tumors on shoulder,including 8 cases of skin juga fibrosarcoma,3 cases of basal cell carcinoma,squamous cell carcinoma of the skin in 1 case.Preoperative using doppler ultrasound probe design perforator flap to expand resection,intraoperative cut edge basal tag frozen pathological examination without taking skin flap after the tumor invasion,according to the wound and wear the appropriate adjustment design of perforator flap.Followed-up to observe recurrence,flaps or ulcers,and the texture of the flap and the feel of the flap.All patients were followed-up regularly.Results All 12 patients were followed-up for 6-48 months.The flaps were all alive.The tumor did not relapse,and the flap was not swollen.The texture was consistent with the surrounding tissue.There was no ulceration of the flap.No obvious depression deformity.The outlook of flaps was satisfied,but the feeling was not.The doror sites were closed directly.Conclusion Adjacent using humeral back free perforators flap to repair the defect after tumor resection on shoulder is an easy operation.It is one of the ideal flaps to repair a malignant tumor on the back of the shoulder.
