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以游離淺顯筋膜瓣立即重建足背撕脫傷-病例報告

Immediate Reconstruction of a Foot Dorsum Avulsion Wound with a Free Superficial Temporal Fascial Flap-Case Report

摘要


淺顯筋膜(Superficial temporal fascia)對於足背的軟組織覆蓋重建提供了一個絕佳的選擇,主要是它具備了薄而柔軟的特性,無一般肌皮瓣肥厚不雅的缺點,且取瓣傷口藏於頭髮之中,亦為一大優點。本病例乃台大醫院利用游離淺顯筋膜於急診立即重建一嚴重足背撕脫傷,病人術後恢復迅速,傷口平滑美觀,足部運動功能復建良好,且無任何取瓣傷口的缺陷,因此對於足背的軟組織缺陷,我們建議可選用游離淺子顳筋膜瓣加上皮膚移植進行重建。

並列摘要


Superficial temporal fascial free flap is an excellent choice for dorsal foot reconstruction. It is thin and pliable. It allows free temdons glide beneath the fascial flap. The donor site is inconspicous and morbidity is minimal. A free fascial flap with split thickness skin graft were applied to a patient with severe dorsal foot avulsion as immediate reconstruction six hours following the injury. The wound healed uneventfully and the contour of dorsal foot was maintained. Toes extension was good. The patient was discharged two weeks after the operation. In conclusion. We suggest that the free superficial temporal fascia flap is the ”flap of choica” for foot dorsum reconstruction.

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