IMMEDIATE BREAST RECONSTRUCTION WITH LATISSIMUS DORSI MUSCULOCUTANEOUS FLAP: A SUITABLE OPTION FOR CHINESE WOMEN AFTER MASTECTOMY

Objective： To discuss the suitable immediate breast reconstruction modalities for Chinese patients by comparing the pedicled transverse rectus abdominis myocytaneous flap （TRAM） reconstruction with latissimus dorsi myocytaneous flap （LTD） reconstruction plus implants or not after mastectomy due to breast cancer. Methods： From Jan. 2000 to Jul. 2005, 74 staged 0-II patients （mean age 39） were performed immediate breast reconstruction with autologous tissue either using LTD flaps or pedicled TRAM flaps with supplemental implants when necessary after mastectomy due to breast cancer and the charts were reviewed. Results： The age, marriage and menses status did not affect the selection of modalities and the need of implants. In 74 patients, 62 cases （83.8%） were performed LTD reconstruction with 13 implants and 12 cases received TRAM with 1 implant. The difference in need of implants or not between the two modalities had no statistical significance （P=0.442, Fisher＇ exact test）. Aesthetic results judged as good or fair were in 88% patients and the cosmetic effects between LTD and TRAM groups or implant and non-implant groups had no differences. All reconstructions were successful, with 4.1% cumulative locoregional recurrence and 100% overall survival by following up to 66 months （median 9 months）. The DFS and RFS between the two modalities had no significant differences by log rank test. Conclusion： Immediate autologous tissue reconstruction makes it possible to regain the natural and symmetric contour of breast without increased local recurrence. The LTD flap reconstruction is a suitable option for most Chinese women as well as the pedicled TRAM flap.

Male papillary breast cancer treated by wide resection and latissimus dorsi flap reconstruction: A case report and review of the literature

Breast cancer(BC) in men represents between 0.5% and 1% of all BC diagnosed each year. We report a case of advanced BC in a 62-year-old male treated at our interdisciplinary Breast Cancer Center. The patient presented with a newly diagnosed large, symptomatic mass in his left breast. Clinical examination showed a not movable mass of 16 cm diameter, deforming the whole breast; the overlying skin was livid and hypervascularized. Enlarged lymph nodes were palpable in the axillary pit. He had no concomitant diseases at time of presentation. He denied any first- or second degree family medical history of cancer of any type and he never received radiotherapy. Ultrasound guided minimal-invasive 14-gauge core biopsy revealed a moderately differentiated encapsulated papillary carcinoma with high expression of estrogen and progesterone receptors(both > 80%, IRS 12) and HER2-negative. Because of the tumor size a mastectomy with axillary dissection and chest wall reconstruction using a latissimus dorsi flap was performed. Histological analysis showed invasive growth besides typical(non-invasive) papillary carcinoma and was classified as invasive solid papillary carcinoma; p T3(10 cm), p N0(0/15), M0,R0; Oncotype DX Recurrence Score indicated low risk(RS: 2). After discussion in the interdisciplinary tumor board meeting, radiation therapy and tamoxifen were recommended. The patient had an uneventful recovery and is disease-free after two years of follow-up. Male BC is typically diagnosed at an advanced stage, most likely due to a lack of awareness that men can develop BC. Therefore, in case of a large tumor, a flap-based thoracic reconstruction may be required.

Pre-expanded Muscle-sparing Latissimus Dorsi Flaps for Reconstruction of Severe Scar Contractures on the Anterior Chest

Objective To investigate the utility of pre-expanded muscle-sparing latissimus dorsi flaps in the reconstruction of deformities secondary to severe scar contractures on the anterior chest.Methods The function of the latissimus dorsi was preserved with blood supply from the main or lateral branch of the thoracodorsal artery.The entire treatment period was divided into two stages,during which segmental latissimus dorsi flaps were pre-expanded in stage I and anterior chest scar deformities were reconstructed in stage II.During stage I,the musculocutaneous perforators arising from the lateral branch of the thoracodorsal artery were determined by ultrasound preoperatively;the flap design included the anterior segment of the latissimus dorsi supplied by the musculocutaneous perforators from the lateral branch;and a tissue expander was placed following flap dissection and then infused with saline intermittently for 4–6 months.In stage II,the chest scars were excised,and breast tissues were repositioned;the continuity of the medial branch of the thoracodorsal nerve to the muscle was preserved when reconstruction was performed using the segmental latissimus dorsi flaps supplied by the main or lateral branch of the thoracodorsal artery.Results From October 2010 to October 2019,21 patients(on 24 sides)underwent reconstructive procedures for extensive scar contractures on the anterior chest.All flaps survived,and their donor sites were sutured directly.During a follow-up of 3 months to 8 years,the flaps became soft and exhibited color similar to that of the adjacent tissues.The limited neck and shoulder movements improved,and postoperatively,all female patients were satisfied with the shape of their breasts.Additionally,neither apparent weakening on the adduction,internal rotation,or extension strength of the shoulder joint on the affected side nor marked depression deformity in the back was observed.Conclusion Pre-expanded muscle-sparing latissimus dorsi flaps with blood supply from the main or lateral branch of the thoracodorsal artery proved to be a desirable option for the reconstruction of extensive scar contractures on the anterior chest.

Latissimus Dorsi Mini-Flap as a Volume Replacement Technique after Partial Mastectomy for Breast Cancer in the Upper and Central Breast Quadrants: A Single Center Experience

Background: The latissimus dorsi (LD) muscle flap plays an essential role in breast reconstruction after partial mastectomy for cancer because of its stability and versatility. We evaluated both oncologic and aesthetic outcomes in addition to the related complications of this flap as an adjunct to breast conserving surgery in the management of breast cancer patients. Methods: All patients underwent a one-stage procedure with immediate reconstruction through two-steps operation;wider local excision utilizing oncoplastic principles and mini flap harvest & volume replacement. Results: The study included 34 cases with early breast cancer;30 patients had partial breast resection and defect refilling by LD mini-flap, three patients underwent mastectomy and one patient underwent extended LDF. The mean defect volume was (212.63 cm3 ± 59.57) cm3, while the mean flap volume was (218.27 cm3 ± 53.64 cm3). Patient self-evaluation of the cosmetic outcome was excellent in 20%, good in 60% and satisfactory in 20% of patients. Panel evaluation according to Harvard scale showed excellent in 36.7%, good in 36.7%, fair in 26.7% of patients. The median hospital stay was 4 days. The postoperative complications included wound gap in 4 patients (13.3%), postoperative donor site seroma in 16 patients (53.3%). No flap loss or necrosis, no affection on arm or shoulder mobility occurred. Lastly, no tumor recurrence till now. Conclusion: Latissimus dorsi mini-flap can achieve adequate cosmetic and oncologic outcomes with a low incidence of complications in patients with early stage (I/II) breast cancer and small to medium sized breasts.

Intrathoracic latissimus dorsi muscle transposition: a reliable technique for prevention of bronchopleural fistula developing after extrapleural pneumonectomy and external beam radiotherapy in malignant pleural mesothelioma

Objective: Bronchopleural fistula (BPF) is a life threatening complication after pneumonectomy. Extra thoracic skeletal muscle transposition especially latissimus dorsi muscle flap (LDMF) had been used to prevent this complication. The aim of this study was to assess the effectiveness of LDMF in preventing BPF developing after extrapleural pneumonectomy (EPP) and external radiation therapy in malignant pleural mesothelioma (MPM). Methods: Between May 1999 and Dec. 2008, 37 patients with MPM were operated upon by EPP using LDMF prophylactically to reinforce the bronchial stump, and then received external radiation therapy with or without postoperative chemotherapy. Results: The mean age of all patients was 46.7 (range 26-57) years. Twenty five patients were males and 12 patients were females. Twenty three patients had MPM of the right side and 14 patients had MPM of the left side. The peri-operative mortality was 2.7% and only few flap related postoperative morbidity were reported in the form of minor seroma and subcutaneous surgical emphysema. The median follow up was 17 (range 9-43) months. All cases completed their postoperative external radiation therapy with no reported cases of early or late BPF. Conclusion: Intrathoracic pedicled LDMF transposition is proved to be effective in prevention of BPF developing after EPP and external radiation therapy in MPM and it is advised to be a routine step in EPP in these cases and to use more sophisticated technique of postoperative external beam radiotherapy (3D conformal or IMRT) to minimize this complication.

胸背动脉穿支皮瓣在肩胸背部创面修复中的临床应用

目的探讨胸背动脉穿支皮瓣在肩胸背部皮肤软组织缺损修复中的应用。方法自2019年1月至2022年12月,应用胸背动脉穿支皮瓣修复肩胸背部皮肤软组织缺损8例,致伤原因均为肿瘤切除术后。术前应用CTA和手持多普勒超声确认胸背动脉的存在、走行、分支及穿支位置。根据创面位置、面积设计胸背动脉穿支皮瓣。皮瓣仅携带穿支发出位置的极少量肌肉,将胸背动脉降支近端从肌肉内剥离,保留胸背动脉横支和胸背神经。如血管蒂长度不足,可切断横支。皮瓣带蒂转移修复创面。供瓣区拉拢缝合。结果8例皮瓣均存活,供瓣区切口愈合好。随访6个月到2年,所有患者受区外观满意,供瓣区无明显畸形,肩关节功能无明显影响。结论胸背动脉穿支皮瓣血供可靠,血管蒂长,且基本完整地保留了背阔肌功能,是修复肩胸背部邻近创面的良好选择。

游离背阔肌双叶皮瓣修复肢体软组织缺损的效果

目的探讨游离背阔肌双叶皮瓣修复肢体软组织缺损的效果。方法采用游离背阔肌双叶皮瓣修复9例肢体严重创伤患者,胸背动脉外侧分支背阔肌皮瓣切取范围为13.5 cm×6.5 cm~23.5 cm×9.0 cm,胸背动脉内侧分支背阔肌皮瓣切取范围为6.5 cm×5.5 cm~10.5 cm×7.5 cm。皮瓣切取后进行适当调整以修复各种不规则的缺损创面,皮瓣供区创面可直接缝合或仅需少量皮片移植修复。结果患者均获得随访,时间6~23个月。术后8例游离背阔肌双叶皮瓣全部成活,1例胸背动脉内侧支背阔肌皮瓣远端少部分坏死,经二期切除缺损创面直接缝合后愈合。7例因皮瓣臃肿行皮瓣修薄术,2例无需二次修整。末次随访时9例皮瓣质地及外形均良好,创伤肢体活动功能均恢复满意。7例供区直接缝合,遗留线状瘢痕,2例供区少量皮片移植修复。结论背阔肌皮瓣解剖恒定,血运可靠,供区隐蔽,切取面积范围大,是修复肢体严重创伤大面积软组织缺损的良好方法,而且采取双叶切取既有利于供区创面直接缝合,又有利于不规则创面的修复。

游离背阔肌皮瓣临床解剖及其在头颈部巨大缺损修复中的应用

目的 :探讨游离背阔肌皮瓣修复头颈部巨大缺损的可行性及修复效果。方法 :在尸体上模拟解剖制备背阔肌皮瓣,使用Image-Pro Plus 6.0软件进行测量,评估修复头颈部巨大缺损的可行性。回顾分析2011年5月—2022年9月使用游离背阔肌皮瓣修复的7例头颈部巨大缺损患者的临床资料,评价其修复效果。结果:尸体标本中制备的背阔肌皮瓣动、静脉血管蒂平均长度分别为(85.5±10.5) mm和(104±4.2) mm,胸背动脉起始外径为(4.03±0.56) mm。7例患者中,5例为头皮缺损,2例为颈部缺损。7例背阔肌皮瓣全部成活,供区无明显术后并发症。结论:背阔肌皮瓣组织量丰富,静脉回流充分,血管蒂长度充足,是修复头颈部巨大缺损的理想肌皮瓣。

单侧腔镜假体植入乳房重建/隆乳联合对侧腔镜/开放背阔肌±假体乳房重建的应用

目的评估单侧腔镜假体植入乳房重建/隆乳联合对侧腔镜/开放背阔肌±假体乳房重建在乳腺癌患者中的临床疗效。方法前瞻性分析2021年1月至2024年5月在四川大学华西医院接受单侧腔镜假体植入乳房重建/隆乳联合对侧腔镜/开放背阔肌±假体乳房重建的16例乳腺癌患者(32个乳房)的临床资料,以评估该术式临床疗效。结果中位随访时间为10.50个月,手术相关并发症发生率为18.75%(6/32),美容学并发症发生率为15.63%(5/32),Harris量表评分优秀及良好总占比为81.25%(13/16),Ueda评分优秀及良好总占比为87.50%(14/16),SCAR-Q外观量表评分为(56.56±20.77)分。1例术后出现远处转移,1例局部和区域复发,无死亡病例。结论单侧腔镜假体植入乳房重建/隆乳联合对侧腔镜/开放背阔肌±假体乳房重建术后乳房美观度好,手术时间短,值得临床推广应用。

带蒂降支背阔肌肌皮瓣即刻乳房重建在乳腺癌患者中的应用研究

目的 探讨带蒂降支背阔肌肌皮瓣即刻乳房重建在乳腺癌患者中的应用效果。方法 以2022年1月至2024年6月在郑州大学第三附属医院行带蒂降支背阔肌肌皮瓣即刻乳房重建治疗的26例乳腺癌患者为研究对象,分析皮瓣存活率、手术效果优良率和术后并发症发生率。结果 随访结果显示,26例患者皮瓣均存活,手术效果中优14例,良11例,差1例。手术效果优良率为96.15%(25/26)。术后出现背部术区感染2例,背部术区和腋窝血肿2例,上肢水肿1例,并发症发生率为19.23%(5/26)。结论 带蒂降支背阔肌肌皮瓣即刻乳房重建在乳腺癌患者中应用疗效较好,患者术后皮瓣存活率高,修复效果好,具有临床应用价值。

达芬奇机器人辅助保留乳头乳晕乳腺切除即刻假体联合背阔肌组织瓣乳房重建的初步探索

目的探索机器人辅助保留乳头乳晕乳腺切除即刻假体联合背阔肌组织瓣(LDMF)乳房重建手术的有效性和实用性。方法回顾性分析了单一医疗机构自2022年9月至2023年9月期间完成的14例机器人辅助的背阔肌组织瓣乳房重建。其中有皮岛组5例、无皮岛组9例。统计各组病例的手术类型、手术时间和围手术期并发症。结果在全部14例手术中,8例进行了对侧乳房的整形手术,1例患者没有使用假体。有皮岛组和无皮岛组的平均手术总时间分别为(392.1±61.2)min和(351.6±67.4)min,术后留置引流管时间分别为(11.2±0.7)d和(9.0±1.1)d,住院时间分别为(18.4±1.5)d和(11.3±1.1)d。由于样本量有限及两组患者的手术因含有对侧手术和腋窝手术从而导致偏差,研究结果在统计学上无意义。术后所有患者均未出现乳头乳晕复合体坏死和围手术期并发症。在平均(3±1)个月的随访期间内没有发生复发或死亡病例。所有患者均对术后的美学效果表示满意。结论机器人辅助保留乳头乳晕乳腺切除即刻假体联合背阔肌组织瓣乳房重建手术是安全的,在引流管留置时间和住院时间上无皮岛术式更具优势,且具有良好的美容效果。然而,这项技术仍具有挑战性,需要术者有较长时间的学习曲线。

腔内多点缝合在乳腺癌患者背阔肌肌皮瓣乳房再造术中的应用效果分析

目的:分析腔内多点缝合在乳腺癌患者背阔肌肌皮瓣乳房再造术中的应用效果。方法:选取2013年7月—2023年7月于湖南中医药大学第二附属医院实施乳腺癌改良根治术Ⅰ期背阔肌肌皮瓣乳房再造术的患者62例作为研究对象,随机分为研究组(n=32)和常规组(n=30)。研究组实施腔内多点缝合,常规组实施常规缝合。比较两组手术相关指标、血清肿发生情况。结果:研究组日均引流量、总引流量少于常规组,拔管时间早于常规组,住院时间短于常规组,差异有统计学意义(P<0.05)。研究组血清肿发生率低于常规组,差异有统计学意义(P<0.001)。结论:腔内多点缝合在乳腺癌患者背阔肌肌皮瓣乳房再造术中的应用效果显著,可减少引流量,缩短拔管时间,促进患者康复,降低血清肿发生率,值得临床应用。

护理干预在改良根治术后即刻背阔肌皮瓣乳房重建中的临床观察

目的探讨改良根治术后即刻背阔肌皮瓣乳房重建及护理干预对乳腺癌患者乳房外观美容效果的影响。方法回顾性分析安阳市肿瘤医院乳腺外科2022年1月至2023年8月收治的37例采用改良根治术后即刻背阔肌皮瓣乳房重建的患者,均统一进行围术期护理,观察术后乳房的外观的恢复及对其生活质量的影响,评估手术的安全性。结果手术后患者乳房整形有效率为89.19%,手术后出现皮瓣坏死1例(2.70%),皮下血肿2例(5.41%),包膜挛缩1例(2.70%),总发生率为4例(10.81%)。经术后3个月线下门诊随访发现,远处转移1例,复发转移2例,总复发3例(8.11%)。结论对于乳腺癌患者采用改良根治术后即刻背阔肌皮瓣乳房重建术后,乳房的整形效果较为美观,手术方式不增加患者术后并发症的发生风险,临床治疗效果较好。

VSD与带蒂背阔肌皮瓣转移序贯治疗上肢大面积软组织缺损

目的探讨VSD联合带蒂背阔肌皮瓣转移序贯治疗上肢大面积软组织缺损的临床疗效。方法回顾性分析2016年2月至2023年3月我科收治的上肢大面积软组织缺损64例患者的临床资料,按治疗方法分为治疗组和对照组,各32例,清洁创面后分别采用持续VSD与带蒂背阔肌皮瓣转移序贯治疗、换药+带蒂背阔肌皮瓣转移序贯治疗上肢大面积软组织缺损创面。比较两组手术前住院时间、抗生素使用时间、总住院时间、皮瓣存活情况等,采用Mayo肘关节评分系统评价肘关节功能。结果治疗组手术前住院时间、抗生素使用时间及总住院时间均明显少于对照组,差异有统计学意义(P<0.05)。治疗组术后皮瓣完全存活32例(100%),对照组完全存活29例(90.62%),缺血、感染坏死3例(9.38%);组间比较差异有统计学意义(P<0.05)。术后6个月按Mayo评分标准评价肘关节功能:治疗组优6例,良16例,中8例,差2例,优良率为68.75%,对照组优4例,良14例,中10例,差4例,优良率为56.25%;两组比较差异有统计学意义(P<0.05)。随访7~14个月,平均(12.0±1.9)个月,皮瓣质地柔软,外形满意。结论VSD与带蒂背阔肌皮瓣转移序贯治疗上肢大面积软组织缺损,可有效促进创面愈合,减轻患者换药痛苦,且皮瓣切取简便、易存活,是修复上肢大面积软组织缺损的有效方法。

乳腺癌超象限切除术联合带蒂背阔肌皮瓣转移乳房重建术对乳腺癌美容及预后的影响观察

目的 探讨乳腺癌超象限切除术联合带蒂背阔肌皮瓣转移乳房重建术对乳腺癌美容及预后的影响。方法 选取50例行乳腺癌超象限切除术联合带蒂背阔肌皮瓣转移乳房重建术的乳腺癌患者作为观察组,另选取同一时间段50例行传统保乳手术的乳腺癌患者作为对照组。比较两组患者术后并发症发生率、乳房的美容效果、预后情况以及手术前后自尊、自我形象水平。结果 观察组术后乳房的美容效果明显优于对照组,差异有统计学意义(P<0.05)。观察组与对照组术后感染和皮瓣坏死、切口愈合不良、皮下积液的发生率比较,差异无统计学意义(P>0.05)。两组患者远处转移、复发转移及生存率比较,差异无统计学意义(P>0.05)。手术前,两组患者乳腺癌自我形象量表(BIBCQ)、自尊量表(SES)评分比较,差异无统计学意义(P>0.05);手术后,观察组BIBCQ评分(98.56±8.88)分明显低于对照组的(121.31±9.18)分, SES评分(30.85±3.86)分明显高于对照组的(24.65±3.15)分,差异有统计学意义(P<0.05)。结论 乳腺癌患者采用乳腺癌超象限切除术联合带蒂背阔肌皮瓣转移乳房重建术在确保手术疗效的同时,能让患者乳房保持良好形态,提升患者自尊水平及自我形象要求,改善乳腺癌患者的生活质量,值得在临床推广。

Natural History of Seroma Following the Immediate Latissimus Dorsi Flap Method of Breast Reconstruction

Background： The latissimus dorsi （LD） flap procedure remains a popular and useful breast reconstrtlction tool in China and Western countries, and donor site seroma formation is the main complication. This study was conducted in Chinese patients to determine whether stable cases of seromas would resolve without treatment. Methods： A retrospective review of 45 consecutive cases of immediate breast reconstruction with LD flap from April 2012 to February 2017 was conducted. The scope of the seroma was demarcated with a marker pen, and cases that remained stable over time （i.e. the size of the seroma did not increase） were observed without treatment. The measured outcomes included the incidence ofseromas, the volume and duration of postoperative wound drainage, and other demographic characteristics. Results： Twenty-four patients （53.3%） developed a seroma at the donor site. Of these, 21 patients （87.5%） did not require treatment, and the seroma resolved over time. The mean duration of a sustained serol-na was 6.8 ± 1.4 weeks （range： 4-9 weeks）. Conclusions： This study observed the scope and progression of the seromas and found that seromas at the LD donor sites resolved over time without treatnlent.

Reverse latissimus dorsi muscle flap for complex back defects: our experience

Aim: The aim was to study the effectiveness of the reverse latissimus dorsi muscle flap in reconstruction of complex defects of the back. Methods: This is a retrospective study of patients who underwent reverse latissimus dorsi flap for reconstruction of the back, in a tertiary care hospital. The patient demographics, etiology, surgery indications and complications were studied. Results: The study had five patients between 2012 and 2016 who underwent reverse latissimus dorsi flap for reconstruction. The flaps survived in all the patients. Two patients had complications, unrelated to the latissimus dorsi muscle flap. Conclusion: The vascularity of the flap is reliable can be used to obliterate the dead space, can be used to control the infection, in complex cases of the back.

Reverse bilateral latissimus dorsi flap reconstruction after extensive mid back dermatofibrosarcoma protuberans excision:a case report

Surgical resection of soft tissue sarcoma of the trunk can result in large defects requiring complex reconstruction for coverage of vital neurovascular structures and tissue defect. Large defects of the back could be reconstructed with multiple random pattern or local pedicled flaps. We present the case of a 48-year-old patient with a locally advanced dermatofibrosarcoma protuberans of the back. Wide local excision of the lesion was performed. The soft tissue defect measured 22 cm × 20 cm × 4 cm and was reconstructed with bilateral reverse latissimus dorsi myocutaneous (RLDM) flap. Each RLDM flap measured 24 cm × 10 cm. The donor site on the back was closed directly on both sides. The patient recovered well and the two flaps healed uneventfully. Twelve months after surgery the patient is disease-free. The use of a RLDM flap in mid-back reconstructions provided wide well-vascularized soft tissue, minimized risk of infection, and maximized back coverage. This flap is an excellent choice for reconstruction of large defects of the mid-back.

背阔肌肌皮瓣在新辅助化疗后cT4局部晚期乳腺癌创面修复中的应用

目的:探讨背阔肌肌皮瓣(LDMF)在新辅助化疗(NAC)后cT4局部晚期乳腺癌(cT4-LABC)创面修复中的应用效果。方法:回顾性分析2017年12月至2020年08月间我科收治14例cT4-LABC患者,在经过抗感染和NAC达到临床获益(PR+SD)后,局部行乳腺癌根治性切除术,并即刻应用LDMF修复胸壁缺损。结果:14例患者中13例(13/14,92.9%)完成既定周期的NAC,1例仅完成2周期NAC(剔除研究)。在纳入研究的13例患者中,无CR和PD病例,PR 12例(12/13,92.31%),SD 1例(1/13,7.69%),NAC临床获益率100%(13/13)。13例患者均成功完成手术,手术时间4~6小时,术中出血200~300 mL,术后2例皮肤缺血坏死(2/13,15.38%),通过换药自行愈合,拔管后8例供区出现少量血清肿(8/13,61.54%),通过抽液、加压包扎处理后消失。随访1~36个月,中位随访22个月,1例局部复发(1/13,7.69%)、3例远处转移(3/13,23.08%)、2例死亡(2/13,15.38%),所有患者背阔肌功能良好,上肢活动基本正常。结论:cT4-LABC在保证全身治疗有效后,局部手术时应用LDMF即刻修复胸壁缺损切实可行,效果确切,值得推广。

游离软组织皮瓣修复口腔颌面部缺损的研究进展

游离软组织皮瓣移植作为修复口腔颌面部组织缺损的主要方式,在患者全身情况允许的情况下,根据口腔颌面部缺损的部位和范围选择合适的游离软组织瓣,对恢复口腔颌面部缺损患者的功能与外形具有重要意义。因此,本文在了解当前口腔颌面部组织损失基本情况后,根据当前应用的游离软组织皮瓣修复技术内容,分析实践操作的注意事项和未来发展趋势。