常用游离软组织瓣在口腔颌面部缺损中的应用

Optimized reconstruction of oral and maxillofacial defects with common soft-tissue free flaps

肿瘤外科手术和外伤导致的口腔颌面部组织缺损,严重影响患者组织器官的功能和外形美观。采用游离软组织瓣移植修复不仅可避免重要的血管和神经外露,而且有助于恢复患者基本的解剖结构和形态。然而,由于口腔颌面部解剖结构精细且功能复杂,修复效果往往不尽如人意。因此,针对不同缺损情况选择适当的修复方法,优化游离软组织瓣的设计和制备过程,具有重要的临床意义。本文对常用游离软组织瓣在口腔颌面部缺损中的应用和优化修复策略进行评述。

Severe tissue defects in the oral and maxillofacial region are commonly caused by tumor resection and trauma and can impair physiological function and aesthetics in patients.Applying a soft-tissue free flap transfer may avoid exposing important blood vessels and nerves and restore basic anatomical structures and facial features.However,the outcomes of soft-tissue free flap transfer have tended to be unsatisfactory because of the exquisite anatomical structure and complicated functions of the oral and maxillofacial region.Therefore,it is clinically important to choose a proper reconstructive method based on specific tissue defects and to optimize the processes involved in the designing andharvesting of soft-tissue free flaps.In this review,we summarize the application of soft-tissue free flaps in oral and max-illofacial defects and strategies for optimizing the quality of tissue reconstruction.