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ID 51869
JaLCDOI
フルテキストURL
Thumnail 67_5_325.pdf 6.63 MB
著者
Hasegawa, Kenjiro Department of Plastic and Reconstractive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Namba, Yuzaburo Department of Plastic and Reconstractive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Kimata, Yoshihiro Department of Plastic and Reconstractive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
抄録
Since 2001, we have been performing phalloplasty with a radial forearm free flap as the flap of first choice in female-to-male transsexuals (FTMTS). In the present case, a 22-year-old FTMTS with a negative Allen test, we achieved good results by performing phalloplasty with an innervated island pedicled anterolateral thigh flap using the "tube within a tube" technique, in which the penis and urethra are constructed with a single flap. While phalloplasty with an island-pedicled or free anterolateral thigh flap has been reported previously, the present case seems to be the first of phalloplasty with an innervated island-pedicled anterolateral thigh flap using the "tube within a tube" technique. As compared to a forearm flap, use of an innervated island-pedicled flap may have the following advantages in phalloplasty:1) no need for a microsurgical technique;2) no scars at noticeable sites;3) small functional loss in the flap donor area;4) no sacrifice of major blood vessels. Thus, this technique seems to be a useful clinical alternative for phallic reconstruction.
キーワード
gender identity disorder
sex reassignment surgery (SRS)
phalloplasty
Amo Type
Case Report
発行日
2013-10
出版物タイトル
Acta Medica Okayama
67巻
5号
出版者
Okayama University Medical School
開始ページ
325
終了ページ
331
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2013 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Sience KeyUT
関連URL
http://doi.org/10.18926/AMO/52660