胸廓内动脉穿支皮瓣修复气管造瘘口和颈前皮肤缺损  

Application of internal mammary artery perforator flap for tracheostoma and anterior cervical defect

作　　者：张彬[1] 鄢丹桂[1] 冯云[2] 徐震纲[1] 唐平章[1] 

机构地区：[1]中国医学科学院北京协和医学院肿瘤医院头颈外科,北京100021 [2]北京中日友好医院耳鼻喉头颈外科

出　　处：《中华整形外科杂志》2011年第1期12-14,共3页Chinese Journal of Plastic Surgery

摘　　要：目的 探索带蒂胸廓内动脉穿支皮瓣修复气管造瘘口和颈前皮肤缺损的临床效果.方法 2009年4月至12月应用带蒂胸廓内动脉穿支皮瓣修复颈部皮肤缺损共4例,其中气管造瘘口周围缺损2例,颈部手术后皮肤缺损2例.4例均选择第2肋间穿支血管供血,皮瓣面积（4～7）cm×（10～13）cm.结果 3例皮瓣全部存活,1例发生部分坏死.供区缺损均直接拉拢关闭且无并发症.结论 带蒂胸廓内动脉穿支皮瓣是头颈部缺损修复的新技术,供区并发症低,主要适用于气管造瘘口和颈部手术后皮肤缺损.Objective To investigate the application of pedicled internal mammary artery perforator（IMAP） flap for tracheostoma and anterior cervical defect. Methods From April to December 2009, 4 IMAP flaps, based on the second internal mammary artery perforator, were used for two cases of tracheostoma and two cases of anterior cervical skin defect. The flap size was （4-7） cm× （ 10-13 ）cm.Results 3 of 4 flaps survived completely. Partial necrosis happened in one flap. The defects at donor sites were closed directly. Conclusions The IMAP flap is a new method for head and neck defect. It is very suitable for tracheostoma and cervical skin defect, with less morbidity at donor site.

关 键 词：外科皮瓣 头颈部肿瘤 修复外科手术 

分 类 号：R622[医药卫生—整形外科]