Parascapular Pedicle Fasciocutaneous Flaps for Regional Reconstruction, Evaluation Study  

作　　者：Mahdi Hameed Abood Dana A. Abdilkarim 

机构地区：[1]Al Wasity Teaching Hospital, Baghdad, lraq [2]Suliamania Teaching Hospital, Suliamania, Iraq

出　　处：《Journal of US-China Medical Science》2011年第10期626-637,共12页美中医学（英文版）

摘　　要：Background： Since their description, scapular and parascapular flaps, had become workhorse fasciocutaneous flaps, initially as free flaps and later as pedicled flaps, for reconstruction of any extensive skin defect almost in any part of the body where thin, supple, large, well-vascularized, healthy tissue is required. These flaps have been used in the armamentarium of reconstruction of axilla, shoulder and chest wall by many authors with good functional and aesthetic outcomes and acceptable donor morbidity. Objective： It is to evaluate the reliability and the versatility of pedicled fasciocutaneous parascapular flaps in the treatment of axillary, lateral chest, and shoulder defects. Methods： This prospective study was conducted in Al-Wasity hospital for reconstructive surgery, Baghdad and the teaching hospital in Sulaimanyiah. Eleven patients, four males and seven females, were managed by twelve parascapular pedicled fasciocutaneous flaps from February 2008 to September 2009 with minimum follow up of 6 months. Their ages ranged from 8 months to 23 years, mean age 11.7 years. The flaps designed as island parascapular in two flaps, peninsular parascapular in eight flaps, and island scapular and parascapular in two flaps. The causes of the defects were, postburn scarring and contractures release in axilla and lateral chest wall in 9 patients, axillary hydradinitis suppurativa excision in one patient （2 flaps）, and trauma to the shoulder and axilla in one case. Ten patients were managed unilaterally. Only one patient managed bilaterally who was complaining of bilateral hydradinitis suppurativa in both axillae. Results： In an average adult a donor site up to （25~ 11 cm） closed primarily, larger than 11 cm width required skin grafting of donor site. Eight flaps went uneventful. Four flaps were complicated. Partial dehiscence encountered around the flap in one patient and partial dehiscence in the donor site in two flaps. Partial flap loss occurred in three flaps. Conclusion： Parascapular pedicled flap

关 键 词：Parascapular and scapular flaps postbum contractures hydradinitis suppurativa. 

分 类 号：S858.23[农业科学—临床兽医学] Q954.5[农业科学—兽医学]