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游离组织瓣修复口腔颌面部缺损183例临床分析

王晓军 郭俊梅 郭琦 于永红 刘焕磊

口腔颌面外科杂志2013,Vol.23Issue(1):57-59,3.
口腔颌面外科杂志2013,Vol.23Issue(1):57-59,3.DOI:10.3969/j.issn.1005-4979.2013.01.013

游离组织瓣修复口腔颌面部缺损183例临床分析

Free Tissue Flap Reconstruction in Oral and Maxillofacial Defects

王晓军 1郭俊梅 1郭琦 1于永红 1刘焕磊1

作者信息

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摘要

Abstract

Objective: To summarize the clinical experience applying free tissue flap to repair the oral and maxillofacial defects.Methods: From 2001 to 2011, 183 patients treated with vascularized free flap were involved in this retrospective study, which were included 91 free radial forearm flap, 78 free fibular flap, 14 anterior-lateral thigh flap.These flaps were used to reconstruct the defects of the tongue, palate, cheek, floor of month, maxilla and mandible.The free flap survival rate and postoperative complications were evaluated.Results: The success rate of free flap was 97.8%.The flap crisis rate was 2.2%.Survival rate of radial forearm flap was 96.7%, fibular flap was 98.7%, and anterior-lateral thigh flap was 100%.The forearm flap was the most common selected soft tissue flap in reconstruction of the defect.Anterior-lateral thigh flap was often used in reconstruction of combined defects.Maxilla and mandibula reconstruction only used fibular flap.Conclusions: Reconstruction with free tissue flap afforded the great possibility for oral maxillofacial tumor resection.

关键词

游离组织瓣/口腔颌面部缺损/重建修复

Key words

free flap/ oral and maxillofacial defect/ reconstruction

分类

医药卫生

引用本文复制引用

王晓军,郭俊梅,郭琦,于永红,刘焕磊..游离组织瓣修复口腔颌面部缺损183例临床分析[J].口腔颌面外科杂志,2013,23(1):57-59,3.

口腔颌面外科杂志

OACSTPCD

1005-4979

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