前臂游离桡侧皮瓣修复口腔颌面部缺损75例临床分析  

Clinical analyse of repairing oral and Maxillofaciai defects by forearm free flap（ report of 75 cases）

作　　者：赵德安[1] 高兴强[1] 关丽梅[1] 

机构地区：[1]福建医科大学附属厦门第一医院耳鼻咽喉-头颈外科,厦门361003

出　　处：《中国临床实用医学》2009年第7期83-85,共3页China Clinical Practical Medicine

摘　　要：目的总结前臂桡侧游离皮瓣修复口腔颌面部软组织缺损的经验。方法对75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75例，74例全部存活，1例失败，成功率98．7％。结论前臂桡侧游离皮瓣解剖恒定、制备方便，厚薄适中、血管蒂长，是一种修复口腔颌面软组织缺损的优良皮瓣，也是口腔颌面部软组织缺损修复的首选皮瓣。Objective To summarize the clinical experience of repairing oral and maxillofacial defects with radial forearm free flap. Methods The clinical records of 75 cases received oral and maxillofacial recon- struction with radial forearm free flap were analyzed. Results Forearm free flap healed well in 74 out of the 75 cases. With the overall success rate of 98. 7%. 1 case of failure. That with latero radical neck dissection occurred blood vessel artieulo in postop, missed rescue time and flap failure. Conclusion The radial forearm free flap characterized by the anatomical consistency, ideal thickness, flexibility and long pediele, is feasible in the reconstruction of soft tissue defects in oral and maxiilofaeial region.

关 键 词：前臂游离皮瓣 显微血管外科 修复重建 口腔颌面部 

分 类 号：R7[医药卫生—临床医学]