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股深动脉穿支皮瓣在舌癌术后缺损修复中的应用一例报告

代敏 张霓霓 易杰 姚礼 张立刚 李意俊 胡小华

遵义医科大学学报2025,Vol.48Issue(5):492-497,6.
遵义医科大学学报2025,Vol.48Issue(5):492-497,6.

股深动脉穿支皮瓣在舌癌术后缺损修复中的应用一例报告

Application of profunda artery perforator flap in postoperative tongue cancer defect reconstruction:a case report and literature review

代敏 1张霓霓 1易杰 1姚礼 1张立刚 1李意俊 1胡小华1

作者信息

  • 1. 遵义医科大学附属口腔医院口腔颌面外科,贵州遵义 563006
  • 折叠

摘要

Abstract

Objective To report the clinical characteristics,treatment process,and application of profunda ar-tery perforator flap(PAPF)for postoperative tongue defect reconstruction in a 3 5-year-old male with tongue cancer,combined with a literature review to summarize its advantages and provide insights for clinical practice.Methods A case of left tongue squamous cell carcinoma was diagnosed.After preoperative evaluation,the pa-tient underwent"radical resection of left tongue,jaw,and neck+left PAPF transfer reconstruction+glosso-plasty"under general anesthesia.The advantages of PAPF were analyzed through case reporting and literature re-view.Results The flap survived completely with primary wound healing.Optimal tongue morphology,mastica-tion,and swallowing functions were restored.The donor site exhibited minimal scarring and high patient satisfac-tion.Literature review highlighted PAPF's advantages:consistent withperforator anatomy,sufficient tissue vol-ume,and high harvesting success rate.Conclusion The deep femoral artery perforator flap demonstrates con-cealed donor-site incision,anatomical stability,functional adaptability,and low donor-site damage,making it a critical option for post-tongue cancer reconstruction,particularly in patients with high demands for functional and aesthetic outcomes.

关键词

股深动脉穿支皮瓣/舌癌/颌面部组织缺损/重建修复/舌再造

Key words

profunda artery perforator flap/tongue cancer/maxillofacial defect/reconstruction and repair/glos-soplasty

分类

医药卫生

引用本文复制引用

代敏,张霓霓,易杰,姚礼,张立刚,李意俊,胡小华..股深动脉穿支皮瓣在舌癌术后缺损修复中的应用一例报告[J].遵义医科大学学报,2025,48(5):492-497,6.

基金项目

遵义市工业和科学技术局、遵义医科大学"市校联合资金"项目[NO:遵市科合HZ字(2024)346]. (2024)

遵义医科大学学报

2096-8159

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