摘要
目的 :总结前臂桡侧游离皮瓣修复口腔颌面软组织缺损的经验。方法 :对 110例前臂桡侧游离皮瓣修复口腔颌面软组织缺损的病例进行临床分析。结果 :前臂桡侧游离皮瓣修复口腔颌面部各类软组织缺损 110例 (硬软腭缺损修复再造 3例 ) ,其中 1例为双前臂桡侧游离皮瓣。 10 5例全部存活 (尿毒症伴舌癌患者 1例 ) ,1例大部份存活 ,成功率 96.4% ,失败 4例。结论 :前臂桡侧游离皮瓣解剖恒定、制备方便 ,厚薄适中、便于折叠、血管蒂长 ,是一种修复口腔颌面软组织缺损的优良皮瓣 。
Objective: To summarize the experience of repairing or al and maxillofacial defects with radial forearm free flap. Methods: The clinical records of 110 cases received oral and maxillofacial reconstruction with radial forearm free flap were analyzed.Results: Forearm free flap healed well in 10 5 out of the 110 cases.with the overall success rate of 96.4%.Failure was in 4 c ases of cancer.One patient died from cerebral infarction 19 days after operation .Post operation infection did not result in the necrosis of the flaps because o f corresponding treatment in 5 cases.Conclusion: The radia l forearm free flap characterized by the anatomical consistency,easy fold, ideal thickness, flexibility and long pedicle, is feasible in the reconstruction of soft tissue defects in oral and maxillofacial region.
出处
《实用口腔医学杂志》
CAS
CSCD
北大核心
2004年第1期73-75,共3页
Journal of Practical Stomatology