机构：[1]Capital Med Univ, Beijing Tongren Hosp, Dept Otolaryngol Head & Neck Surg, Dongjiaominxiang St, Beijing 100730, Peoples R China临床科室耳鼻咽喉-头颈外科首都医科大学附属北京同仁医院首都医科大学附属同仁医院[2]Capital Med Univ, Beijing Tongren Hosp, Dept Radiol, Beijing, Peoples R China医技科室放射科首都医科大学附属北京同仁医院首都医科大学附属同仁医院[3]Capital Med Univ, Fuxing Hosp, Dept Otolaryngol Head & Neck Surg, Beijing, Peoples R China
Internal mammary artery perforator (IMAP) flap is the major tissue source for head and neck reconstructive surgery. However, the flap survival is still uncertain due to the anatomical variations of the IMAP. In this study, we optimized the flap design with digital subtraction angiography (DSA) and metal pins marked on the chest, and achieved a 100% survival rate. 20 patients with head and neck defect were subjected to preoperative DSA to trace the IMAP. 14 were selected to receive reconstruction surgery using IMAP flaps. Flap design and survival rate were recorded. The intro-operative examination for distribution and shape of IMAP confirmed the preoperative DSA imaging on all cases. Each flap had a suitable perforator confirmed during dissection. There was no occurrence of postoperative necrosis. All donor sites were closed primarily. IMAP flap design assisted with preoperative DSA and metal pins marked on the chest can markedly increase operation success rate.
基金：
Beijing city health personnel "Thou" 100 level candidates project; training project of high-level medical technical personnel in health system in Beijing City [2013-03-054]
第一作者机构：[1]Capital Med Univ, Beijing Tongren Hosp, Dept Otolaryngol Head & Neck Surg, Dongjiaominxiang St, Beijing 100730, Peoples R China
通讯作者：
通讯机构：[1]Capital Med Univ, Beijing Tongren Hosp, Dept Otolaryngol Head & Neck Surg, Dongjiaominxiang St, Beijing 100730, Peoples R China[*1]Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Dongjiaominxiang Street, Dongcheng District, Beijing 100730, P. R. China.
推荐引用方式(GB/T 7714)：
Kou Xiu-Juan,Liang Xi-Hong,Bai Yun-Long,et al.Design of internal mammary artery perforator island pedicle flap with digital subtraction angiography for head and neck reconstruction[J].INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE.2016,9(10):19122-19129.
APA：
Kou, Xiu-Juan,Liang, Xi-Hong,Bai, Yun-Long,Lu, Fan-Qian,Feng, Ya-Ru...&Chen, Xiao-Hong.(2016).Design of internal mammary artery perforator island pedicle flap with digital subtraction angiography for head and neck reconstruction.INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE,9,(10)
MLA：
Kou, Xiu-Juan,et al."Design of internal mammary artery perforator island pedicle flap with digital subtraction angiography for head and neck reconstruction".INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE 9..10(2016):19122-19129
