• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国卫生研究院文献>Craniomaxillofacial Trauma Reconstruction >Versatility of Subscapular Chimeric Free Flaps in the Secondary Reconstruction of Composite Posttraumatic Defects of the Upper Face
【2h】

Versatility of Subscapular Chimeric Free Flaps in the Secondary Reconstruction of Composite Posttraumatic Defects of the Upper Face

机译：肩cap下嵌合游离皮瓣的多功能性在上面部复合型创伤后缺损的二次重建中

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

High energy injuries to the upper face present challenging reconstructive problems. In some cases, initial reconstructive efforts result in unfavorable outcomes that require secondary intervention. Chimeric free flaps based on the subscapular system offer the tissue components and volume needed for these complex reconstructions. This is a series of five patients who underwent secondary reconstruction of the middle and upper face following traumatic injury. Mechanism of injury, prior attempts at reconstruction, and characteristics of the tissue defects and the flaps used in their reconstruction are described. Two patients were female and three were male. Three injuries resulted from gunshot wounds, and two from motor vehicle accidents. All patients had multiple prior failed attempts at reconstruction using local/regional tissue. Defects included symptomatic oronasal or oro-orbital fistulas, enophthalmos, and forehead contour deformities. Two of the flaps used included scapular bone and latissimus muscular components, and three included scapular bone and thoracodorsal artery perforator-based skin paddle components. All free tissue transfers were successful, and no patients suffered significant complications. Chimeric free flaps based on the subscapular system offer a valuable secondary strategy for reconstruction of composite defects of the upper face when other options have been exhausted through previous efforts.
机译：上表面的高能量伤害带来了富有挑战性的重建问题。在某些情况下，最初的重建工作会导致不良后果，需要二次干预。基于肩s下系统的无嵌合瓣提供了这些复杂重建所需的组织成分和体积。这是一系列五名患者，他们在遭受创伤后接受了中上面部的二次重建。描述了损伤的机制，先前的重建尝试以及组织缺损和重建中所使用的皮瓣的特征。两名患者为女性，三名男性。枪伤造成三人受伤，机动车辆事故造成两人受伤。所有患者均曾多次尝试使用局部/区域组织重建失败。缺陷包括有症状的口鼻或眶眶瘘，眼睑和前额轮廓畸形。使用的两个皮瓣包括肩cap骨和阔肌成分，三个皮瓣包括肩cap骨和胸甲动脉穿孔器基的皮肤桨成分。所有的自由组织转移均成功，并且没有患者遭受重大并发症。当通过先前的努力已经用尽其他选择时，基于肩cap下系统的嵌合游离皮瓣为重建上表面的复合缺陷提供了有价值的辅助策略。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号