穿支皮瓣修复口腔颌面-头颈部缺损专家共识

Expert consensus statement on application of perforator flap in oromaxillofacial head and neck defect reconstruction

穿支皮瓣由皮肤穿支血管供血,是常用的组织缺损修复形式,但头颈部解剖复杂、缺损形式多样以及穿支血管解剖变异等,阻碍了穿支皮瓣在口腔颌面-头颈部缺损修复中的进一步应用。迄今为止,国内外对于穿支皮瓣修复口腔颌面-头颈部缺损临床应用缺少相关治疗指南,穿支血管的术前评价缺乏统一标准,穿支皮瓣的应用设计缺乏科学的规范,穿支皮瓣修复术后缺少客观的监测和评价体系。为进一步统一和规范穿支皮瓣在口腔颌面-头颈部缺损修复中的应用,提高重建效果,本共识总结全国多家著名医学院校及附属医院口腔颌面外科专家团队的实践经验,供临床医师参考。

Perforator flap is supplied by the cutaneous perforator vessels, which is a common modality to reconstruct the defect tissue. However, the complex anatomy, the variety of defects in the head and neck and the perforator vessel variation prevent perforator flap from application further. So far, there is no guideline for the clinical application of perforator flaps to repair oral maxillofacial head and neck defects. Preoperative evaluation of perforator vessels lacks uniform standards and the design of perforator flaps lacks reasonable norms. There is no objective monitoring and evaluation system after perforator flap reconstruction. To further standardize the application of perforator flaps and improve the reconstruction effect in oral maxillofacial head and neck defect, this consensus summarized the practical experience of oral and maxillofacial surgeons for clinical reference.