游离上臂外侧皮瓣在头颈肿瘤术后修复重建中的角色定位

The role definition of lateral arm free flap in reconstruction after head and neck cancer surgery

游离皮瓣移植术是头颈外科重要的修复手段之一，诸如股前外侧皮瓣等多种游离皮瓣已经在头颈肿瘤切除后组织缺损修复中显示出了独特的优越性，并逐渐普及。游离上臂外侧皮瓣作为整形外科的重要修复手段，至今已经发展了30余年，而其在头颈外科修复重建中的应用却相对滞后，报道较少。本文着重围绕游离上臂外侧皮瓣的创造与革新、解剖与临床应用关系以及在头颈肿瘤个体化修复重建中的应用现状与展望予以综述。

Application of free flap is one of the important repair means in head and neck surgery. A variety of free flaps, such as anterolateral thigh flap, have showed unique advantages in repair for tissue defects after resection of head and neck tumor, and have became increasing popularity. Lateral arm flee flap is an important repair means in plastic surgery, which has developed more than 30 years, but the application of this flap for reconstruction in head and neck surgery is relatively backward, with few reports. This review focuses on the creativity and innovation, the relationship between anatomy and clinical application, and the application status and prospects for lateral arm flee flap in individual head and neck reconstruction surgery.