RECONSTRUCTION OF SCALP AND CRANIUM DEFECT UTILIZING LATISSIMUS-DORSI MUSCULOCUTANEOUS AND SERRATUS ANTERIOR MUSCLE FREE FLAPS WITH INTERPOSITIONAL ANASTOMOSIS OF T-SHAPED FLAP ARTERY

被引:4
作者
ARAI, H [1 ]
YANAI, A [1 ]
NISHIDA, M [1 ]
YOSHIKATA, R [1 ]
NAKANISHI, H [1 ]
SATO, K [1 ]
机构
[1] JUNTENDO UNIV,DEPT PLAST SURG,TOKYO 113,JAPAN
来源
SKULL BASE SURGERY | 1995年 / 5卷 / 02期
关键词
D O I
10.1055/s-2008-1058942
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The use of a combination musculocutaneous free flap, consisting of a latissimus dorsi flap and a serratus anterior flap, for reconstruction of a large scalp and cranium defect is described. The recipient artery, the superficial temporal artery (STA), was anastomosed to the flap artery, without sacrificing blood flow, by means of a special technique forming the end of the flap artery into a T shape and interposing it between the two stumps of the transected STA, because the STA was crucial for tissue adjacent to the defect. The flap vein was anastomosed to the external jugular vein with a vein graft. The extensive defect was immediately closed with sutures, and there were no remarkable complicatons.
引用
收藏
页码:117 / 121
页数:5
相关论文
共 14 条
[1]   USE OF FREE LATISSIMUS DORSI MUSCULOCUTANEOUS FLAPS IN VARIOUS NEUROSURGICAL DISORDERS [J].
BARROW, DL ;
NAHAI, F ;
FLEISCHER, AS .
JOURNAL OF NEUROSURGERY, 1983, 58 (02) :252-258
[2]  
BRIDGER GP, 1989, ARCH OTOLARYNGOL, V115, P308
[3]   MICROVASCULAR SURGERY AS AN ADJUNCT TO CRANIOMAXILLOFACIAL RECONSTRUCTION [J].
FISHER, J ;
JACKSON, IT .
BRITISH JOURNAL OF PLASTIC SURGERY, 1989, 42 (02) :146-154
[4]   A FREE TRANSFER OF BOTH LATISSIMUS DORSI AND SERRATUS ANTERIOR FLAPS WITH THORACODORSAL VESSEL ANASTOMOSES [J].
HARII, K ;
YAMADA, A ;
ISHIHARA, K ;
MIKI, Y ;
ITOH, M .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1982, 70 (05) :620-629
[5]   REFINEMENTS USING FREE-TISSUE TRANSFER FOR COMPLEX CRANIAL BASE RECONSTRUCTION [J].
IZQUIERDO, R ;
LEONETTI, JP ;
ORIGITANO, TC ;
ALMEFTY, O ;
ANDERSON, DE ;
REICHMAN, OH .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1993, 92 (04) :567-574
[6]   FREE RECTUS ABDOMINIS MUSCLE FLAP RECONSTRUCTION OF THE MIDDLE AND POSTERIOR CRANIAL BASE [J].
JONES, NF ;
SEKHAR, LN ;
SCHRAMM, VL .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1986, 78 (04) :471-477
[7]   RISK-FACTORS FOR POSTOPERATIVE NEUROSURGICAL WOUND-INFECTION - A CASE-CONTROL STUDY [J].
MOLLMAN, HD ;
HAINES, SJ .
JOURNAL OF NEUROSURGERY, 1986, 64 (06) :902-906
[8]  
OLDING M, 1993, ANN PLAS SURG, V31, P82
[9]  
OLSEN KD, 1992, ARCH OTOLARYNGOL, V118, P828
[10]   RECONSTRUCTION OF LARGE CRANIAL DEFECTS IN THE PRESENCE OF HEAVY RADIATION-DAMAGE AND INFECTION UTILIZING TISSUE TRANSFERRED BY MICROVASCULAR ANASTOMOSES [J].
ROBSON, MC ;
ZACHARY, LS ;
SCHMIDT, DR ;
FAIBISOFF, B ;
HEKMATPANAH, J .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1989, 83 (03) :438-442