一个前臂免费的翻盖基于一个持久的中枢动脉
Ben S Rhee1, Joseph T Tarr1, Evan Rothchild1
1Division of Plastic & Reconstructive Surgery, Northwell Health, Queens, New York, USA.
Head & neck
|May 23, 2025
概括
一个持久的中间动脉 (PMA) 可以成功地被用作前臂脚架在辐射前臂自由 (RFFF) 中. 这一案例证明了在不影响手臂功能的情况下,片的可行性,突出了识别这种解剖变异的重要性.
科学领域:
- 人体解剖学 解剖学 解剖学
- 血管外科 血管外科
- 重建性手术是一种重建性手术.
背景情况:
- 中央动脉是一种胚胎动脉,通常会回归,但可以持续到成年.
- 在辐射前臂自由 (RFFF) 收获过程中偶尔会遇到持久的中间动脉 (PMA).
- 关于使用PMA作为前臂脚踏板的有限文献.
研究的目的:
- 举报一个使用持久中枢动脉 (PMA) 作为辐射前臂自由 (RFFF) 的脚的新案例.
- 为了评估使用PMA踏板收获的RFFF的生存能力和功能结果.
主要方法:
- 一名69岁的女性患者有口腔癌史,接受了RFFF重建,以提高口腔能力.
- 采集了RFFF,使用持久性中枢动脉 (PMA) 作为其血管支柱.
- 观察到PMA穿过一个双中枢神经.
主要成果:
- 与持续的中枢动脉 (PMA) 脚一起收获的辐射前臂自由 (RFFF) 在术后仍然可行.
- 患者在上肢感觉或运动功能方面没有出现缺陷.
- 片成功地提供了软组织批量,并恢复了口腔能力.
结论:
- 持久中间动脉 (PMAs) 可以安全有效地被用作前臂脚,用于辐射前臂自由 (RFFF).
- 外科医生应该意识到这种解剖变异及其潜在的实用性.
- 识别PMA对于成功的重建性手术至关重要.
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