Application of thoracic skin flap with multiple blood supply in repair of tissue defects and deformities in jaw and neck
Author(s): SONG Hai-feng, CHAI Jia-ke, LIU Chun-ming, CHI Yun-fei, LI Dong-jie, FENG Guang, LIANG Li-ming, ZHAO Jing-yu, GAO Quan-wen
Pages: 15-17
Year: 2009 Issue: 1
Journal: Chinese Journal of Burns
Keyword: Face; Neck; Thorax; Surgical flaps; Defect;
Abstract: Objective To explore an appropriate measure to repair tissue defects and deformities in mandibulo-cervical region. Methods Eighteen cases with severe tissue defects and deformity in jaw and neck were repaired with thoracic skin flap with multiple blood supply system in our unit from Jan. 2006 to Nov. 2008. Anterior cutaneous branch of transverse cervical artery, intercostal branch of internal thoracic artery and lateral thoracic artery were included in the pedicles. Results All skin flaps survived, except in one patient in whom a small belb appeared at the distal end of the island flap with anterior cutaneous branch of transverse cervical artery, and it was healed after a few dressing changes. The functions and appearances were satisfactory after 6-month to 2-year follow-up, without showing secondary deformity. Conclusions The blood supply of thoracic skin flap is abundant and constant, which is an ideal method for repair of tissue defects and deformities in jaw and neck after taking into account some factors, such as the demand of the pa-tient, general physical condition,and the size of the defect.
Pages: 15-17
Year: 2009 Issue: 1
Journal: Chinese Journal of Burns
Keyword: Face; Neck; Thorax; Surgical flaps; Defect;
Abstract: Objective To explore an appropriate measure to repair tissue defects and deformities in mandibulo-cervical region. Methods Eighteen cases with severe tissue defects and deformity in jaw and neck were repaired with thoracic skin flap with multiple blood supply system in our unit from Jan. 2006 to Nov. 2008. Anterior cutaneous branch of transverse cervical artery, intercostal branch of internal thoracic artery and lateral thoracic artery were included in the pedicles. Results All skin flaps survived, except in one patient in whom a small belb appeared at the distal end of the island flap with anterior cutaneous branch of transverse cervical artery, and it was healed after a few dressing changes. The functions and appearances were satisfactory after 6-month to 2-year follow-up, without showing secondary deformity. Conclusions The blood supply of thoracic skin flap is abundant and constant, which is an ideal method for repair of tissue defects and deformities in jaw and neck after taking into account some factors, such as the demand of the pa-tient, general physical condition,and the size of the defect.
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