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Titolo:
Transplants from the shoulder-back region
Autore:
Remmert, S; Gehrking, E; Meyer, S; Sommer, K;
Indirizzi:
Univ Klinikum Lubeck, Klin Hals Nasen & Ohrenheilkunde, D-23538 Lubeck, Germany Univ Klinikum Lubeck Lubeck Germany D-23538 nde, D-23538 Lubeck, Germany
Titolo Testata:
HNO
fascicolo: 9, volume: 49, anno: 2001,
pagine: 724 - 731
SICI:
0017-6192(200109)49:9<724:TFTSR>2.0.ZU;2-R
Fonte:
ISI
Lingua:
GER
Soggetto:
MYOFASCIAL FLAP; SCAPULAR FLAP; RECONSTRUCTION; MAXILLARY;
Keywords:
scapular transplant; parascapular transplant; latissimus dorsi transplant; microvascular transplants; reconstructive head and neck surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Remmert, S Univ Klinikum Lubeck, Klin Hals Nasen & Ohrenheilkunde, Ratzeburger Allee 160, D-23538 Lubeck, Germany Univ Klinikum Lubeck Ratzeburger Allee 160 Lubeck Germany D-23538
Citazione:
S. Remmert et al., "Transplants from the shoulder-back region", HNO, 49(9), 2001, pp. 724-731

Abstract

Background. In spacious or multilayered tissue losses and cases of multiple locations of defects, a large amount of tissue with different components such as skin, fatty tissue, and muscle is required for proper reconstruction. A donor area which can meet these demands is the shoulder-back region with the subscapular vessel, which arises from the axillary artery. Patients and methods. We report our clinical experience with 12 patients in whom we reconstructed defects with transplants from this region. Results. Our anatomic investigation and measurements provided proof of a constant anatomy of the vessels with a length of the vascular pedicle and a vascular diameter suitable for microvascular anastomosis. Based on our clinical experience, the scapular, parascapular, and latissmus dorsi muscle transplants are very suitable for the reconstruction of very large superficialdefects or for the augmentation of multilayered defects of the upper aerodigestive tract. Conclusions. A main advantage of the transplants from the shoulder and back region is the possibility of combining several transplants with a wide variety of tissue combinations with one vascular pedicle for a single-step reconstruction of multiple defects of the oral cavity and the pharynx.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 04:20:46