前臂桡侧皮瓣+肱桡肌修复口腔癌缺损的临床应用

THE CLINICAL APPLICATION OF REPAIRING ORAL CANCER DEFECTS BY BRACHIORADIALIS MUSCLE WITH RADIAL FOREARM FLAP

目的:探讨前臂桡侧皮瓣+肱桡肌修复口腔癌缺损的临床应用。方法:12例口腔癌患者行根治术后所遗留下的缺损利用前臂桡侧皮瓣+肱桡肌来修复,同时制备皮瓣和切取必须大小的肱桡肌,勿损伤肌支,吻合血管,肱桡肌充填于死腔,皮瓣覆盖口腔面缺损。结果:12例患者术后皮瓣全部成活,取瓣区没有功能障碍。结论:这种方法是一种比较好的临床修复口腔癌缺损的方法。

Objective： To explore the clinical application of repairing oral cancer defects by brachiordialis muscle with radial forearm flap. Mothods：12 cases of oral cancer treated with radical therapy were repaired by brachiordialis muscle with radial forearm flap , the flap was prepared and requisite brachioradial muscle was exsected simuhaneously, perforators were not injured.Blood vessel was anastomosed, brachioradial muscle was filled up into cavum , oral defects were covered with flap.Results： All cases were overall successful , no functional loss at the donor site occur red. Conclusion：Using brachiordialis muscle with radial forearm flap to repair oral cancer defects is a better method.