重庆医学Issue(12)：1445-1447,1451,4.DOI:10.3969/j.issn.1671-8348.2014.12.013
两种游离皮瓣在口腔颌面部恶性肿瘤术后缺损修复中的应用
Clinical application of 2 kinds of free flaps for defect repair after malignant tumor resection
陈丹 1杨凯 1陈睿 1张福军 1赵丹 1张劲松 1李雅冬1
作者信息
- 1. 重庆医科大学附属第一医院口腔颌面外科，重庆400016
- 折叠
摘要
Abstract
Objective To investigate the application value of using 2 kinds of free flaps forearm flap and anterolateral thigh flap to repair oromaxillofacial defects after tumor resection .Methods 53 cases of oromaxillofacial malignant tumor diagnosed by patho-logical examination ,TNM stage T2 N0 M0 -T4 N3 M0 ,in the department of oral and maxillofacial surgery of this hospital from Jan . 2011 to Dec .2012 were performed the primary focal expanded resection ,radical dissection and the free flap simultaneous repair in-cluding forearm flap(27 cases) or anterolateral thigh flap(26 cases) .The size of the forearm flaps ranged from minimal 3 cm × 4 cm to maximal 6 cm × 8 cm ,while those of anterolateral thigh flap ranged from minimal 4 cm × 6 cm to maximal 8 cm × 13 cm .Results The survival rate of forearm flaps was 92 .59% (25/27) ,while which of anterolateral thigh flaps was 96 .15% (25/26) ,and the to-tal survival rate of 2 kinds of flaps was 94 .34% .All the patients were followed up for 2-24 months with good functional and es-thetic results in facial .In the patients repaired by forearm flaps ,3 female cases showed visible scars in donor sites ,and 2 male cases showed the disappearance of the skin sensation in the donor hand within an area between the thumb and index finger .In the patients repaired by anterolateral thigh flaps ,1 female case showed visible scars in donor sites ,and no case had the motor deficits .Conclusion The forearm flap and anterolateral thigh flap are ideal flaps for the oromaxillofacial reconstruction after malignant tumor resection .The forearm flap is more suitable for beginners to use because it has constant and large diameter vessels and easy to vascular anastomosis .The donor site of anterolateral thigh flap not only can be sutured directly without skin grafting ,but also more covert than forearm flap .关键词
外科皮瓣/前臂/股前外侧皮瓣/上颌面部损伤/修复外科手术/口腔肿瘤Key words
surgical flaps/forearm/anterolateral thigh flap/maxillofacial injuries/reconstructive surgical procedures/mouth neoplasms引用本文复制引用
陈丹,杨凯,陈睿,张福军,赵丹,张劲松,李雅冬..两种游离皮瓣在口腔颌面部恶性肿瘤术后缺损修复中的应用[J].重庆医学,2014,(12):1445-1447,1451,4.
