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題 名 | Using Autologous Fat Graft as Tissue Cushion to Avoid Pedicle Tortuosity or Kinking in Perforator Flaps=利用自體脂肪組織運用於預防自由皮瓣血管之摺疊或扭轉 |
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作 者 | 劉家瑋; 陳宏基; 李宗勳; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 23:3 2014.09[民103.09] |
頁 次 | 頁240-245 |
分類號 | 416.413 |
關鍵詞 | 自由皮瓣; 血管纏繞; 自體脂肪組織; Kinking; Tortuosity of pedicle; |
語 文 | 英文(English) |
中文摘要 | 背景:自由皮瓣不但只是為了覆蓋複雜的傷口,同時它還滿足了功能及美觀的需求。然而,皮瓣重解手術中仍偶而發生血管纏繞的問題。目的及目標:為了預防皮瓣之血管纏繞等問題,我們從手術部位獲取自體脂肪組織,並且置放於血管纏繞的位置,預防血管狹窄及血栓形成,使得血流順暢。材料及方法:從二零一零年四月至二零一二年四月,總共收集了三十位病患,病患由五十歲至六十八歲不等,分為二十九位男性及一位女性,所有的病患均為頭頸癌之病患並接受大腿前外側皮瓣之重建手術。於血管吻合手術後發生血管之纏繞的問題,故此,我們使用自體脂肪組縮以改善及預防血管的纏繞。結果:經過十四天後的追蹤,所有的皮瓣均順利存活,沒有充血或缺血的問題產生。結論:自體脂肪組織可使用於皮瓣手術中,以預防血管之纏繞問題。 |
英文摘要 | Background: Free flaps not only provide coverage of complex composite defects but also fulfill functional and aesthetic requirements in reconstructive surgeries. Nevertheless, flap rotation and pedicle kinking are common conditions encountered in free flaps procedures. Aims and Objectives: In order to avoid pedicle tortuosity yet maintain a longer pedicle in pedicle or free flaps, we used an autologous fat graft, which was harvested from the adjacent surgical region by plain excision, and placed it as a cushion between the tortuous segments of a long pedicle. It could help to maintain a more flowing position preventing narrowing of the vessels lumen and thrombosis. Patients and Methods: From April 2010 to April 2012, 30 patients were enrolled in the current study. 29 males and 1 female with a range from 50 to 68 years old. All patients underwent head and neck reconstructive surgery with free ALT flap. Tortuosity or kinking of pedicle after anastomosis was found. In all patients the tortuosity or kinking of the pedicle was solved by placing autologous fat graft as cushions to prevent thrombosis or postoperative complications. Results: All the flaps survived without congestion or ischemic change 14 days after the procedures were performed. Conclusion: Autologous fat graft can act as a tissue cushion to prevent kinking of the pedicle in those that presented with a remarkable tortuosity. |
本系統中英文摘要資訊取自各篇刊載內容。