前臂游离皮瓣行颌面部组织缺损修复术110例

Repairing of oral and maxillofacial defects with radial forearm free flap (report of 110 cases)

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.