皮下茎皮弁による顔面皮膚悪性腫瘍切除後再建

抄録

A subcutaneous pedicle flap (SCPF) is very useful in reconstruction after resection of facial skin malignant tumors. The results are very excellent in texture match and color match with the surrounding area. It is often experienced in treatment of facial malignant skin tumors that the defect is wide, and no adequate donor is indicated near the defect. To utilize wider SCPFs and SCPFs in a more distant site, it is necessary to include richer vessels near the flap donor in the subcutaneous pedicle. Actually the pedicle is freely formed right under type, standing Z type, one-side lateral type, or two-side lateral type. The best target vessel should be chosen referring to anatomical knowledge, cadaver angiogram and animal angiograms, which indicates main vessels and vascular arcades. [Skin Cancer (Japan) 2003; 18: 274-277]