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首页> 外文期刊>Journal of plastic, reconstructive & aesthetic surgery: JPRAS >Cephalic vein transposition in head and neck microsurgery: advantages of a modified step-wise (closed) technique.
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Cephalic vein transposition in head and neck microsurgery: advantages of a modified step-wise (closed) technique.

机译：头颈部显微外科手术中的头颈静脉移位：改良的逐步（封闭）技术的优势。

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摘要

The cephalic vein is occasionally used for venous drainage in complex head and neck reconstruction. The vein may be located through a linear incision but we propose an alternative, 'step-wise' technique. A semicircular incision is made similar to that used when raising a deltopectoral flap with an apex just below the level of the coracoid process. The cephalic vein is then identified in the deltopectoral groove and is approached in the arm through a series of small (2 cm) horizontal incisions directly over the vein, resulting in less risk of vessel damage and a speedier harvest. The longitudinal approach, apart from predisposing to potentially worse scarring requiring revision (such as via Z plastic correction), also precludes the subsequent use of the deltopectoral flap. The modified closed step-wise approach simultaneously imparts delay to any future deltopectoral flap, whilst keeping the option of the use of this flap open for future salvage procedures (Figure 1).
机译：头静脉有时在复杂的头颈部重建中用于静脉引流。可以通过线性切口定位静脉，但是我们提出了另一种“逐步”技术。制作半圆形切口类似于在抬高三角翼瓣时将其切开到喙突水平以下。然后在三角肌槽中识别出头静脉，并通过直接在静脉上方的一系列小（2厘米）水平切口在手臂中接近头静脉，从而降低了血管受损的风险并加快了收获速度。纵向方法，除了容易导致潜在的更严重的疤痕需要矫正（例如通过Z型塑料矫正）外，还排除了随后的三角肌瓣的使用。改进的封闭式逐步进给方法同时为以后的所有三角肌瓣带来了延迟，同时为以后的抢救程序保留了使用该瓣的选择（图1）。

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