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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >Rigid Postoperative Fixation for Pedicled Cranial Flaps: A Case Comparison
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Rigid Postoperative Fixation for Pedicled Cranial Flaps: A Case Comparison

机译：带蒂的颅骨瓣硬性术后固定：一例比较

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摘要

Reconstruction after head and neck surgery in congenitally malformed, irradiated, or traumatized tissue may preclude the use of free-flap techniques. In these cases, pedicled flaps provide a useful alternative. Development of methods designed to ensure adequate perfusion of these flaps is essential to their survival. The present report compares two cases in which pedicled arm flaps were employed in face and head reconstruction. In the first case, incomplete immobilization allowed for flap failure, whereas complete immobilization in the second case improved patient comfort, supported persistent flow in the pedicle, and resulted in a viable flap. Follow-up examination at 1 year in the second case revealed healthy, well-vascularized tissue at the surgical site. Survival of pedicled arm to head flaps for cranial reconstruction benefits from three-way immobilization securing head to torso, torso to arm, and arm to head.
机译：头颈部手术后先天畸形，受辐照或外伤的组织中的重建可能会妨碍自由瓣技术的使用。在这些情况下，带蒂皮瓣提供了一种有用的选择。开发确保这些皮瓣充分灌注的方法对它们的生存至关重要。本报告比较了在面部和头部重建中使用带蒂手臂瓣的两种情况。在第一种情况下，不完全固定会导致皮瓣衰竭，而在第二种情况下，完全固定会改善患者的舒适度，支持椎弓根持续流动，并导致可行的皮瓣。在第二例病例中，在一年的随访检查中发现手术部位血管健康，组织良好。带蒂手臂到头部皮瓣用于颅骨重建的生存得益于三向固定，可将头部固定到躯干，躯干固定到手臂以及手臂固定到头部。

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