前臂尺侧穿支皮瓣在口腔颌面-头颈部缺损修复中的应用

Application of ulnar forearm perforator flap in reconstruction of oromaxillofacial head and neck defects

前臂尺侧穿支皮瓣的临床应用已有30年历史,该皮瓣除具有桡侧前臂皮瓣的优点外,还具有供区可直接关闭、并发症少、美观性能好、毛发较少、可制备为多个皮岛的嵌合皮瓣等优点,这使得其非常适合于口腔颌面-头颈部缺损的重建,更易于为患者所接受。临床上,可根据缺损的部位选择不同大小的前臂尺侧皮瓣。由于前臂尺侧穿支皮瓣成活率较高、供区并发症低,在美观和功能方面具有优势,因此其在口腔颌面-头颈部缺损的修复中起着非常重要的作用。

The ulnar forearm perforator flap has been used for reconstruction of various oral and maxillofacial-head and neck defects for about 30 years. Besides having the advantages of radial forearm perforator flap, the ulnar forearm perforator flap has some other advantages, including the possibility of direct closure of the donor defect, reduced morbidity, excellent donor site cosmesis, less hairy skin of the transplant and flexible design of the skin island, and independent skin islands may be created as required. These characteristics make it appropriate for patients to accept. Clinically, different sizes of flaps can be selected according to the size of the defected site. Because of the high survival rate and low donor-site morbidity, and its advantages in beauty and function, the ulnar forearm perforator flap plays a very important role in the repair of oral and maxillofacial-head and neck defects.