دورية أكاديمية
Serratus anterior-rib composite flap: anatomic studies and clinical application to hand reconstruction.
| العنوان: | Serratus anterior-rib composite flap: anatomic studies and clinical application to hand reconstruction. |
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| المؤلفون: | Hui KC; Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, CA 94305, USA., Zhang F, Lineaweaver WC, Moon W, Buncke GM, Buncke HJ |
| المصدر: | Annals of plastic surgery [Ann Plast Surg] 1999 Feb; Vol. 42 (2), pp. 132-6. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Little, Brown And Company Country of Publication: United States NLM ID: 7805336 Publication Model: Print Cited Medium: Print ISSN: 0148-7043 (Print) Linking ISSN: 01487043 NLM ISO Abbreviation: Ann Plast Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Boston Ma : Little, Brown And Company Original Publication: Boston, Little, Brown. |
| مواضيع طبية MeSH: | Surgical Flaps*/blood supply, Hand Injuries/*surgery, Adult ; Cadaver ; Humans ; Male ; Metacarpus/injuries ; Metacarpus/surgery |
| مستخلص: | Because of its relative ease of dissection, increased length of the vascular pedicle, and excellent diameter for anastomosis, the serratus anterior-rib composite flap has been used to reconstruct bony and soft-tissue defects in the face and lower extremities. However, no data are available on optimal rib level or harvest location. The authors report the results of the vascular anatomy of this flap in 6 fresh cadavers and 2 clinical patients using this flap to reconstruct a defect in the hand. Arteriograms were performed through the thoracodorsal artery, and microscopic dissections were done at the rib periosteum. The sixth through the ninth ribs showed consistent filling of their respective intercostal vessels. The rib segments near the anterior axillary line had the most abundant communicating vessels between the serratus and the periosteum. In two patients, the serratus-rib composite free flap provided excellent bone and muscle length for reconstructing the first metacarpal defect. |
| تواريخ الأحداث: | Date Created: 19990224 Date Completed: 19990416 Latest Revision: 20220419 |
| رمز التحديث: | 20221213 |
| PMID: | 10029475 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0148-7043 |
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