中国美容医学2023，Vol.32Issue(12)：74-77,4.
游离前臂皮瓣与股前外侧皮瓣修复口腔癌术后缺损的疗效及对伤口美观度的影响
Effect of Free Forearm Flap and Anterolateral Thigh Flap on Defect Repair after Oral Cancer Surgery and Its Influence on Wound Aesthetics
摘要
Abstract
Objective To analyze the effect of radial forearm free flap(RFFF)and anterolateral thigh flap(ALTF)on defect repair after oral cancer surgery and the influence on wound aesthetics.Methods The clinical data of 86 patients undergoing defect repair after oral cancer surgery were collected between January 2019 and December 2021,including 42 patients receiving RFFF repair(RFFF group)and 44 patients receiving ALTF repair(ALTF group).The success status of skin flap,surgical-related indicators,postoperative mouth opening and speech clarity and postoperative complications were recorded in both groups.At 1 year after surgery,questionnaire survey was conducted using University of Washington Quality of Life Questionnaire(UW-QOL),including 12 items such as oral function(swallowing,chewing,speech,taste,saliva)and wound aesthetics(appearance).The quality of life was evaluated in both groups at 1 year after surgery.Results The success rates of skin flap in the two groups were 97.62%and 97.73%(P＞0.05).There were no statistically significant differences in the skin flap preparation time,flap area,surgical time and postoperative hospital stay between the two groups(P＞0.05).There were no statistical differences in postoperative complications in the recipient area between the two groups(P＞0.05).The total incidence rate of complications in the donor area in RFFF group was higher than that in ALTF group(P＜0.05).Mouth opening and speech clarity at 3 months after surgery and appearance score and total score of UW-QOL at 1 year after surgery were higher in RFFF group than those in ALTF group(all P＜0.05),but there were no statistical differences in scores of items such as oral function of UW-QOL at 1 year after surgery between the two groups(P＞0.05).Conclusion Both RFFF and ALTF are ideal flaps for defect repair after oral cancer surgery,with a high success rate.RFFF flap has more advantages in early postoperative oral function recovery and maxillofacial aesthetics,and ALTF flap has fewer complications in the donor area and has more advantages in safety.关键词
口腔癌/缺损修复/前臂皮瓣/股前外侧皮瓣/口腔功能/颌面部/美观度Key words
oral cancer/defect repair/forearm flap/anterolateral femoral flap/oral function/appearance分类
医药卫生引用本文复制引用
刘喆,刘敏,葛苏蒙,孙国文..游离前臂皮瓣与股前外侧皮瓣修复口腔癌术后缺损的疗效及对伤口美观度的影响[J].中国美容医学,2023,32(12):74-77,4.基金项目
南京市卫生科技发展专项资金项目计划(编号:YKK22183) （编号:YKK22183）
南京大学医学院附属口腔医院3456骨干人才资助项目(编号:0222C111) （编号:0222C111）
