肿瘤预防与治疗2017，Vol.30Issue(3)：182-185,4.DOI:10.3969/j.issn.1674-0904.2017.03.006
供区免植皮的游离前臂皮瓣技术在头颈肿瘤修复中的运用
Modified Free Radial Forearm Flap without Grafting in the Reconstruction of Post-operative Defects of Head and Neck Cancer
摘要
Abstract
Objective: To describe a technique modification for radial forearm free flap (RFF) raising and direct closure of the forearm donor site.Methods: RFFs were harvested as rhomboid,with the long axis centered on the radial artery in 13 patients with head and neck squamous cell carcinoma.A bilobed rhomboid flap was designed adjacent to the donor defect.After raising the RFFs,the wounds were closed primarily without tension.Results: All 13 RFF and bilobed rhomboid flaps survived completely,and the donor sites healed primarily without any skin graft or major complication.Ecchymosis and blisters occurred in two bilobed rhomboid flaps,which did not affect the survival of the flaps.The post-operative movement of wrist was as normal as the opposite wrist.Conclusion: RFFs are harvested as rhomboids,with their long axis centered on the radial artery,ensuring radial forearm flap viability.The direct closure of donor site of RFF by bilobed rhomboid flap without skin grafting increases the aesthetic and functional outcomes of patients.关键词
前臂皮瓣/改良/双叶皮瓣/头颈肿瘤Key words
Radial Forearm Free Flap/Modification/Adjacent Skin Flap/Head and Neck Cancer分类
医药卫生引用本文复制引用
王少新,盛建峰,陈建超,李超,王薇,蔡永聪,刘吉峰,朱桂全..供区免植皮的游离前臂皮瓣技术在头颈肿瘤修复中的运用[J].肿瘤预防与治疗,2017,30(3):182-185,4.基金项目
国家自然科学基金(项目编号 81302375) （项目编号 81302375）
