中国实用口腔科杂志2017，Vol.10Issue(12)：720-723,4.DOI:10.19538/j.kq.2017.12.004
筋膜上股前外侧皮瓣微创制备法在口腔颌面部软组织缺损修复重建中应用研究
Minimally invasive harvest of suprafascial anterolateral thigh flap for soft tissue reconstruction
王菲 1李宁 1蒋灿华 1郭峰 1陈新群 1苏彤1
作者信息
- 1. 中南大学湘雅医院口腔颌面外科,湖南长沙410008
- 折叠
摘要
Abstract
Objective To investigate the value of minimally invasive harvest of suprafascial anterolateral thigh flap (ALTF) in the repair of oral and maxillofacial soft tissue defects.Methods Totally 219 cases who received ALTF for soft tissue reconstruction after oral squamous cell carcinona surgery from March 2014 to January 2017 were studied:72 cases in the subfascial group,147 in the suprafascial group.The harvest time,donor-site complications (infection,hematoma,wound rupture) and receipt-site complications (infection,hematoma,oral and neck fistula,flap necrosis) and the effect of donor-site and receipt-site (the thigh scar,the numbness of the skin of thigh,the dysesthesia of the skin of thigh,the muscle weakness and the functions of mouth) were observed.Results The harvest time of suprafascial group was more than subfascial group (P ＜ 0.05).The cases with the numbness and dysesthesia of the skin of thigh in the suprafascial group were significantly fewer than in the subfascial group.The muscle strength of the thigh in the subfascial group 1 month after operation was weaker than in the suprafascial group,but was similar 6 month after operation.Conclusion The suprafascial ALTF with minimal invasion can be applied in the repair of oral and maxillofacial defects after tumor resection.关键词
股前外侧皮瓣/筋膜上制备/筋膜下制备/微创外科/修复重建Key words
anterolateral thigh flap, ALTF/suprafascial/subfascial/minimally invasive surgery/reconstruction分类
医药卫生引用本文复制引用
王菲,李宁,蒋灿华,郭峰,陈新群,苏彤..筋膜上股前外侧皮瓣微创制备法在口腔颌面部软组织缺损修复重建中应用研究[J].中国实用口腔科杂志,2017,10(12):720-723,4.
