PDF(Pubmed)
Abstract：
UNASSIGNED: It is challenging to reconstruct defects resulting from surgical procedures in areas with high tension. We present modified kite flaps that allowed us to reconstruct the defect with high mechanical tension.
UNASSIGNED: With the combination of advancement and rotation, the defect using bilateral modified kite flaps closes with significantly reduced tension. The double flap not only advances but also rotates the flap. This technique retained and exploited the limbs of the flaps, which were often removed with the traditional V-Y flaps.
UNASSIGNED: Eleven patients have had their surgical defects repaired using this technique, and the results were satisfactory. A follow-up period of three months or longer was conducted. There were no perioperative complications, and major anatomic landmarks were reconstructed. All patients were satisfied with the functional recovery.
UNASSIGNED: The modified method enables a significantly shortened advancement distance of flaps, more flexible flap movement, and sacrifice of healthy tissue to be minimal, and significantly diminished tension for closure. Approximately half the width and length of traditional V-Y flaps were used in this flap donor. Preserving the flap limbs, which were often removed with the traditional V-Y flaps, was also applied to fill defects. Modified kite flaps are a suitable option for the repair of defects in areas with high tension.
UNASSIGNED: With the combination of advancement and rotation, the defect using bilateral modified kite flaps closes with significantly reduced tension. The double flap not only advances but also rotates the flap. This technique retained and exploited the limbs of the flaps, which were often removed with the traditional V-Y flaps.
UNASSIGNED: Eleven patients have had their surgical defects repaired using this technique, and the results were satisfactory. A follow-up period of three months or longer was conducted. There were no perioperative complications, and major anatomic landmarks were reconstructed. All patients were satisfied with the functional recovery.
UNASSIGNED: The modified method enables a significantly shortened advancement distance of flaps, more flexible flap movement, and sacrifice of healthy tissue to be minimal, and significantly diminished tension for closure. Approximately half the width and length of traditional V-Y flaps were used in this flap donor. Preserving the flap limbs, which were often removed with the traditional V-Y flaps, was also applied to fill defects. Modified kite flaps are a suitable option for the repair of defects in areas with high tension.
摘要：
■在高张力区域重建由外科手术引起的缺损具有挑战性。我们提出了改良的风筝皮瓣，使我们能够以高机械张力重建缺损。
■随着前进和旋转的结合，使用双侧改良风筝皮瓣的缺损在张力明显降低的情况下闭合。双襟翼不仅前进而且旋转襟翼。这种技术保留并利用了皮瓣的四肢，通常用传统的V-Y皮瓣去除。
■11名患者使用这种技术修复了手术缺陷，结果令人满意。进行了三个月或更长时间的随访。无围手术期并发症,重建了主要的解剖标志。所有患者均对功能恢复满意。
■修改后的方法能够显著缩短襟翼的前进距离，更灵活的皮瓣运动，对健康组织的牺牲最小化，并大大减少了关闭的张力。在该皮瓣供体中使用了传统V-Y皮瓣的大约一半的宽度和长度。保留皮瓣四肢，通常用传统的V-Y襟翼移除，也适用于填补缺陷。改良的风筝皮瓣是修复高张力区域缺损的合适选择。
■随着前进和旋转的结合，使用双侧改良风筝皮瓣的缺损在张力明显降低的情况下闭合。双襟翼不仅前进而且旋转襟翼。这种技术保留并利用了皮瓣的四肢，通常用传统的V-Y皮瓣去除。
■11名患者使用这种技术修复了手术缺陷，结果令人满意。进行了三个月或更长时间的随访。无围手术期并发症,重建了主要的解剖标志。所有患者均对功能恢复满意。
■修改后的方法能够显著缩短襟翼的前进距离，更灵活的皮瓣运动，对健康组织的牺牲最小化，并大大减少了关闭的张力。在该皮瓣供体中使用了传统V-Y皮瓣的大约一半的宽度和长度。保留皮瓣四肢，通常用传统的V-Y襟翼移除，也适用于填补缺陷。改良的风筝皮瓣是修复高张力区域缺损的合适选择。
