摘要
Abstract 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. On 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.
Abstract 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. On 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.
