口腔颌面外科杂志2025，Vol.35Issue(3)：214-218,5.DOI:10.12439/kqhm.1005-4979.2025.03.007
横行切口技术在前臂皮瓣制备及供区修复中的临床应用
Clinical application of transverse incision technique in forearm flap harvesting and donor site reconstruction
摘要
Abstract
Objective:To evaluate the impact of the transverse incision technique for harvesting forearm flaps on donor-site function and appearance.Methods:A total of twelve patients with oral and maxillofacial soft tissue defects who underwent forearm flap harvesting using the transverse subcutaneous tunnel technique at our hospital between July 2020 and July 2023 were included.Postoperative flap survival was observed.Six months after surgery,hand motor function(finger extension,fist clenching,wrist rotation,and flexion)and sensory function were assessed for any limitations or abnormalities.Patient satisfaction with the forearm donor-site appearance was evaluated through a self-reported questionnaire.Results:The flap survival rate was 100%(12/12).Two patients experienced numbness and tingling in the hand one week postoperatively,but symptoms resolved within three months.At 6-month postoperative follow-up,none of the patients exhibited motor or sensory dysfunction in the hand.Patients reported high satisfaction with the donor-site appearance,with an average satisfaction score of 8.9 on the questionnaire.Conclusion:The transverse incision technique for forearm flap harvesting ensures reliable flap viability without leaving long,conspicuous longitudinal scars.This method minimizes surgical trauma,shortens donor-site healing time,and represents a dependable approach for reconstructing oral and maxillofacial soft tissue defects.关键词
前臂皮瓣/缺损/修复/横形切口Key words
forearm flap/defect/repair/transverse incision分类
口腔医学引用本文复制引用
孙晓强,兰玉燕,孙黎波,张春锋,王昌密,梁云红..横行切口技术在前臂皮瓣制备及供区修复中的临床应用[J].口腔颌面外科杂志,2025,35(3):214-218,5.基金项目
四川省医学会青年创新科研课题(S20086、Q22064) （S20086、Q22064）
泸州市科技局应用基础研究(2023JYJ053) （2023JYJ053）
泸州市科技计划资助(2024JYJ087) （2024JYJ087）
泸州市医学会科研项目(2024-YXXM-010) （2024-YXXM-010）
