Twice delaying of the expanded flap--《Chinese Journal of Plastic Surgery and Burns》2005年01期
Twice delaying of the expanded flap
WU Yi |guang
*, QIAO Qun, LIU Zhi |fei, LI Sen |kai, LI Yang |qun, LIU Cheng, ZHAO Ru, SONG Ke |xin, YAN Ying |jun, SUN Bao |dong.
*Plastic Surgery Hospital, Chinese Academy of Medical Science, Beijing
To introduce a new method for enlarging the survival area of an expanded flap.
After the skin expander was inflated with enough injection,the first delaying was performed.In the operation,two incisions were made in the skin and subcutaneous tissue superficial to the expander capsule on both sides of the long axis of the expanded flap.After 10 to 14 days,the second delaying followed,in which one pedicle was divided to form a unilateral |pedicled,super |long random flap.When the flap was transfered to the recipient area,the door site was closed directly.
Since 2000,this technique has been used in 16 patients.All the flaps survived completely.
Conclusions
The technique of twice delaying can enlarge the survival area of the expanded skin flap. ;
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