颌面部软组织缺损的显微外科重建

Reconstruction of the oral and maxillofacial soft tissue defect by microsurgical technique

目的探讨采用前臂游离皮瓣移植,修复重建颌面部缺损畸形的效果。方法对12例由几种原因所导致的颌面部软组织缺损患者,应用显微外科技术将前臂桡侧游离皮瓣移植于缺损区,修复缺损,并对颌面部重建效果进行评价。结果颌面部外形、丰满度及表情功能恢复较好,口腔功能明显改善。本组12例,成功11例,修复成功率91.66%。结论前臂桡侧游离皮瓣,特别适用于颌面部不规则、复杂缺损的修复与再造。

Objective To reconstruct the oral and maxillofacial defects with the radial forearm flaps. Methods 12 patients suffered from the oral and maxillofacial soft tissue defects caused by various reasons had undergone the reconstruction by microsurgical techniques to implant the free radial forearm flaps for repair of the defects. Assessment was given to the results of the reconstructions of the oral and maxillofacial defects. Results The appearance, plump and countenance functions of the maxillofacial region were regained. The oral functions were improved obviously. 11 of 12 patients＇ defects （91. 66%） were reconstructed successfully. Conclusion The radial forearm flap is an excellent option especially for the repair and reconstruction of the oral and maxillofacial multiple-angle, irregular and complicated defects.