摘要
目的:行面下1/3复合组织缺损的一期重建,改善患者术后面部外形及口腔功能,提高患者的生存质量。方法:使用游离桡侧前臂皮瓣串联髂骨肌瓣。前臂皮瓣重建口腔粘膜、面部皮肤及部分舌体,髂骨肌瓣重建下颌骨缺损。结果:4例患者9块游离组织瓣全部存活,术后随访3~12月,外形及功能满意。结论:前臂皮瓣串联髂骨肌瓣是一期重建面下1/3大型复合缺损较理想的方法,能较好的改善患者术后的面部外形及口腔功能,尤其适用于头颈部多次手术及放疗后的患者病例。
Objective:To report the clinical application of combination of the radial forearm flap with iliac crest free flap in one stage repair of the large composite defects of mandible in “chain flap”.Methods:The radial forearm flap was used for construction of the intraoral lining and facial skin,iliac crest free flap for mandible repair,which blood supply was provided by radial forearm flap Results:“Chain flap”was applied clinically in four cases since 1995 and nine flaps survived during 3 months ̄one year follow up The functional results is satisfactory and improvement of aesthetic aspects in all cases No complication was found in donor site Conclusions:“Chain flap” were ideal and applicable in one stage repair for the large composite defect of mandible,especially in case of multiple head and neck surgery as well as post radiotherapy
出处
《中华显微外科杂志》
CSCD
北大核心
1997年第4期245-247,共3页
Chinese Journal of Microsurgery
关键词
前臂皮瓣
髂骨肌瓣
下颌骨缺损
Mandible flap Iliac crest free flap Radial forearm Defects