Volume 39 Issue 6
Jun.  2023
Turn off MathJax
Article Contents
Yang XK,Zhang DL,He T,et al.Clinical experience of free superficial temporal fascia flap/anterolateral femoral fascial flap combined with skin grafting in repairing deep tissue defects of special parts of extremities[J].Chin J Burns Wounds,2023,39(6):507-511.DOI: 10.3760/cma.j.cn501225-20220915-00407.
Citation: Yang XK,Zhang DL,He T,et al.Clinical experience of free superficial temporal fascia flap/anterolateral femoral fascial flap combined with skin grafting in repairing deep tissue defects of special parts of extremities[J].Chin J Burns Wounds,2023,39(6):507-511.DOI: 10.3760/cma.j.cn501225-20220915-00407.

Clinical experience of free superficial temporal fascia flap/anterolateral femoral fascial flap combined with skin grafting in repairing deep tissue defects of special parts of extremities

doi: 10.3760/cma.j.cn501225-20220915-00407
Funds:

Youth Science Foundation Program of National Natural Science Foundation of China 81701902

General Program of Key Research and Development Plan of Shaanxi Province of China 2023-YBSF-427

More Information
  • The deep tissue defects of extremities are prone to cause the exposure of tendons, blood vessels, nerves, and bones, which are commonly repaired with free flaps in clinical practice. However, for special parts such as fingers, toes, posterior ankles, anterior tibias, and dorsum of feet, the appearances are usually bulky after being repaired with free flaps and need lipectomy operations, which bring great physiological, psychological, and economic burden to patients. As the fascia flap is soft and thin with reliable blood supply and strong anti-infection ability, the free fascia flap combined with skin grafting offers some advantages in repairing the above-mentioned wounds. However, its clinical application is severely limited due to the complexity of surgical operation and the difficulty in observing blood supply after operation. In recent years, our team has carried out a lot of work and accumulated rich experience in repairing deep tissue defects of special parts of extremities with free superficial temporal fascia flap/anterolateral femoral fascial flap combined with skin grafting. From the clinical perspective, this paper mainly introduces the anatomy and harvesting method of free superficial temporal fascia flap/anterolateral femoral fascial flap, as well as the advantages, difficulties, and precautions of clinical application, for reference of peers.

     

  • loading
  • [1]
    姚群,芮永军,糜菁熠,等.吻合血管的前臂中段尺动脉穿支皮瓣修复手指皮肤软组织缺损[J].中华手外科杂志,2018,34(2):124-125.DOI: 10.3760/cma.j.issn.1005-054X.2018.02.017.
    [2]
    张敬良,雷彦文,宋君,等.手部组织缺损修复方法的个性化路径式选择[J].中华显微外科杂志,2013,36(4):343-347.DOI: 10.3760/cma.j.issn.1001-2036.2013.06.008.
    [3]
    YangX,FangZ,LiuM,et al.Free vascularized anterolateral thigh fascia lata flap for reconstruction in electrical burns of the severely damaged finger[J].J Burn Care Res,2019,40(2):242-245.DOI: 10.1093/jbcr/irz010.
    [4]
    LiuM,YangY,ZhangY,et al.Surgical reconstruction of complex distal foot defects with vascularized fascia lata[J].Ann Plast Surg,2020,84(5):525-528.DOI: 10.1097/SAP.0000000000002115.
    [5]
    YangX,FangZ,LiuM,et al.Reconstruction of deep burn wounds around the ankle with free fascia flaps transfer and split-thickness skin graft[J].J Burn Care Res,2019,40(6):763-768.DOI: 10.1093/jbcr/irz078.
    [6]
    YangX,ZhaoH,LiuM,et al.Repair of deep tissue defects in the posterior talocrural region using a superficial temporal fascia free flap plus thin split-skin grafting in extensively burned patients: a retrospective case series[J].Medicine (Baltimore),2018,97(3):e9250.DOI: 10.1097/MD.0000000000009250.
    [7]
    YangX,FangZ,LiuM,et al.Free vascularized fascia flap combined with skin grafting for deep toe ulcer in diabetic patients[J].J Surg Res,2018,231:167-172.DOI: 10.1016/j.jss.2018.05.051.
    [8]
    SteccoC, MacchiV, PorzionatoA, et al. The fascia: the forgotten structure[J]. Ital J Anat Embryol, 2011,116(3):127-138.
    [9]
    王炎之.筋膜瓣的临床应用[J].广东解剖学通报,1989(2):180-183.
    [10]
    SteccoC,TiengoC,SteccoA,et al.Fascia redefined: anatomical features and technical relevance in fascial flap surgery[J].Surg Radiol Anat,2013,35(5):369-376.DOI: 10.1007/s00276-012-1058-0.
    [11]
    DavidgeKM,van FurthWR,AgurA,et al.Naming the soft tissue layers of the temporoparietal region: unifying anatomic terminology across surgical disciplines[J].Neurosurgery,2010,67(3 Suppl Operative):ons120-129; discussion ons129-130.DOI: 10.1227/01.NEU.0000383132.34056.61.
    [12]
    于晓波,蒋海越,潘博,等.颞顶筋膜瓣在修复外耳再造术后支架外露的应用[J].中国美容医学,2011,20(1):36-38.DOI: 10.3969/j.issn.1008-6455.2011.01.017.
    [13]
    杨巧.颞顶筋膜瓣的解剖基础与临床应用进展[J].中国美容医学,2012,21(16):42-44.DOI: 10.3969/j.issn.1008-6455.2012.16.034.
    [14]
    郭佩佩,蒋海越.颞浅筋膜瓣在整形修复外科领域的临床应用进展[J].中华整形外科杂志,2019,35(12):1271-1274.DOI: 10.3760/cma.j.issn.1009-4598.2019.12.022.
    [15]
    芮永军.股前外侧皮瓣在中国的研究进展[J].中华显微外科杂志,2020,43(4):313-325.DOI: 10.3760/cma.j.cn441206-20200628-00277.
    [16]
    张启旭,乔群,陈光宇,等.股前外侧脂肪筋膜瓣血管三维结构的研究及应用[J].中华整形外科杂志,2002,18(4):200-203.DOI: 10.3760/j.issn:1009-4598.2002.04.002.
    [17]
    张功林,葛宝丰,王世勇,等.应用吻合血管的阔筋膜瓣联合游离皮片移植修复手指软组织缺损的经验介绍[J].中华手外科杂志,1999,15(2):99-100.DOI: 10.3760/cma.j.issn.1005-054X.1999.02.120.
    [18]
    张治家,刘洁,郭芳芳,等.股前外侧皮瓣带血管化的阔筋膜在跟腱及软组织缺损中的应用[J/CD].中华临床医师杂志:电子版,2019,13(12):918-921.DOI: 10.3877/cma.j.issn.1674-0785.2019.12.009.
    [19]
    俞俊兴,缪洪华,秦军.游离股前外侧筋膜瓣改良植皮修复手足皮肤软组织缺损[J].实用手外科杂志,2006,20(1):51-52,封三.DOI: 10.3969/j.issn.1671-2722.2006.01.028.
    [20]
    张娟子,刁其先,李林,等.游离股前外侧筋膜瓣和皮瓣治疗手足软组织创伤疗效对比[J].中外医疗,2015,34(28):14-15.DOI: 10.3969/j.issn.1674-0742.2015.28.006.
    [21]
    张文正,伍辉国,章烽火,等.吻合血管股前外侧筋膜瓣的临床应用[J].中国修复重建外科杂志,2007,21(4):349-351.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(3)

    Article Metrics

    Article views (200) PDF downloads(42) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return