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管狀有莖皮辨(tubed pedicle flap)의 臨床的 考察

최신의학 1970년 13권 4호 p.43 ~ 48
黃炫, 柳在德,
소속 상세정보
黃炫 (  ) - 延世大學校 醫科大學 成形外科
柳在德 (  ) - 延世大學校 醫科大學 成形外科

Abstract


A total of 15 cases of tubed pedicle flaps treated by us during last 2 years was analized as to the lesion to be reconstructed, selection of donor site, method of flap formation and timing of the pedicle division and transfer. Ten cases out of 15 had extensive defect on the face, 3 had painful B-K amputation stumps, 2 had perineal defect and penile ampution.
,The tubed flaps were formed on the left lower abdomen in 8 cases, left upper arm in 4 cases, right thigh in 3 cases. Six of them used the wrist as carrier to transfer to the facial defects from the left lower abdomen and one transfered by jumping procedure from left lower abdomen to the right painful B-K amputation stump.
The fashioning of the tubed pedicle flaps was made with ratio of length to width as 3:I and divided the pedicle about 2 weeks after flap formation.
One of 15 cases had the complication of fat necrosis of the tube probably due to tension of the tube.

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