Objective:To investigate the anatomical basis of Rubens'flap based on the deep circumflex iliac artery,and to apply more donor site tissue amount for big chest wall defect.Methods:Gross anatomical study was carrie...Objective:To investigate the anatomical basis of Rubens'flap based on the deep circumflex iliac artery,and to apply more donor site tissue amount for big chest wall defect.Methods:Gross anatomical study was carried on 8 sides of fresh specimens of 4 cases and data was measured by mean of the Vernier caliper.Besides,the surgical simulation was carried on 1 specimen(2 sides).Results:At the inguinal segment,the via artery gave off(9.16±6.22)branches;the diameter of the origin was(3.97±0.86)mm;the distance from starting point to the first branch was(15.87±9.24)mm;amount of osteomusculocutaneous branch was 3.12±1.34;the biggest diameter of perforator was(1.48±1.02)mm;pedicle length was(132.51±48.24)mm.In the surgical simulation,the layers of Ruben's flap from up to down ranged in skin,subcutaneous tissue,obliquus externus abdominis,oblique internal abdominis and transversus abdominis.Conclusion:Rubens'flap,with large tissue amount,based on the deep circumflex iliac artery,near to traditional abdominal flap,has a good clinical application prospect in breast reconstruction and repair of big chest wall defect,for its thin waist effect and slight donor site defect.展开更多
Nerve sheath myxomas (NEUROTHEKEOMA) are uncommon tumors of nerve sheet origin. These tumors most frequently arise from in the dermis and subcutaneous tissues of the head and neck, and upper extremities. Neurothekeoma...Nerve sheath myxomas (NEUROTHEKEOMA) are uncommon tumors of nerve sheet origin. These tumors most frequently arise from in the dermis and subcutaneous tissues of the head and neck, and upper extremities. Neurothekeoma may be either asymptomatic or may present as a painful raised, skin colored, well circumscribed dermal lesion averaging 1 cm in diameter. This entity is especially rare in the foot and we present a 15 years old male patient with a large (6.5 cm) recurrent eurothekeoma of the left foot.展开更多
基金This study was supported by Capital Development Fund(Grant No.20093010)Clinical Characteristic Application of Capital City(Grant No.Z111107058811097)+2 种基金Research and Development Fund of Peking University People's Hospital(Grant No.RDC2014-27)Research and Development Fund of Peking University People's Hospital(Discipline Cultivation Project)(Grant No.RDD2016-05)Youth Fund Project of Natural Science Foundation of Hainan Province(2018)(Grant No.818QN313).
文摘Objective:To investigate the anatomical basis of Rubens'flap based on the deep circumflex iliac artery,and to apply more donor site tissue amount for big chest wall defect.Methods:Gross anatomical study was carried on 8 sides of fresh specimens of 4 cases and data was measured by mean of the Vernier caliper.Besides,the surgical simulation was carried on 1 specimen(2 sides).Results:At the inguinal segment,the via artery gave off(9.16±6.22)branches;the diameter of the origin was(3.97±0.86)mm;the distance from starting point to the first branch was(15.87±9.24)mm;amount of osteomusculocutaneous branch was 3.12±1.34;the biggest diameter of perforator was(1.48±1.02)mm;pedicle length was(132.51±48.24)mm.In the surgical simulation,the layers of Ruben's flap from up to down ranged in skin,subcutaneous tissue,obliquus externus abdominis,oblique internal abdominis and transversus abdominis.Conclusion:Rubens'flap,with large tissue amount,based on the deep circumflex iliac artery,near to traditional abdominal flap,has a good clinical application prospect in breast reconstruction and repair of big chest wall defect,for its thin waist effect and slight donor site defect.
文摘Nerve sheath myxomas (NEUROTHEKEOMA) are uncommon tumors of nerve sheet origin. These tumors most frequently arise from in the dermis and subcutaneous tissues of the head and neck, and upper extremities. Neurothekeoma may be either asymptomatic or may present as a painful raised, skin colored, well circumscribed dermal lesion averaging 1 cm in diameter. This entity is especially rare in the foot and we present a 15 years old male patient with a large (6.5 cm) recurrent eurothekeoma of the left foot.
