Oral and maxillofacial-head and neck reconstruction with soft tissue free flaps of 41 cases: A single team's experience  

作　　者：白岫峰[1] 阿里木江.吾守 郑军[1] 李刚[1] 

机构地区：[1]西安交通大学口腔医学院.口腔医院口腔颌面-头颈肿瘤外科,陕西西安710004

出　　处：《中国美容医学》2013年第11期1131-1136,共6页Chinese Journal of Aesthetic Medicine

基　　金：supported by a grant fromXi'an Jiaotong University School of Medicine for Distinguished Young Scholars(KY200901)

摘　　要：Objective To retrospectively review the single team's experience of oral and maxillofacialhead and neck reconstruction involving 41 soft tissue free flap procedures.Methods From 1994 to 2012,41 patients who underwent oral and maxillofacial-head and neck soft tissue free flap reconstruction at the Department of Oral and Maxillofacial-Head and Neck Surgical Oncology,Hospital and College of Stomatology,Xi'an Jiaotong University,were reviewed with clinicopathologic data.Results The 41 patients included 24 men and 17 women with a mean age of 54 years.A total of 41 soft tissue free flaps were performed to reconstruct different anatomical structures in the head and neck region including oral mucosa,facial bone,head and neck skin.Two types of soft tissue free flaps were used to reconstruct surgical defects,including radial forearm flap and latissimus dorsi myocutaneous flap.Radial forearm flaps were used for 37cases and latissimus dorsi-myocutaneous flaps were 4 cases.Of 41 cases,39 were successful,with an overall success rate of 95.1%.There were 2 free flap failures,including one radial forearm flap and one latissimus dorsi-myocutaneous flap(partial flap necrosis);hence,the flap success rates for radial forearm flap and latissimus dorsimyocutaneous were,respectively,97.3% and 87.5%.Conclusions Radial forearm flap and latissimus dorsi-myocutaneous flap are reliable soft tissue free flaps to repair oral and maxillofacial-head and neck area with high success rate,which resulted in good functionally and cosmetically with fewer complications both donor and recipient sites.Objective To retrospectively review the single team＇s experience of oral and maxillofacial- head and neck reconstruction involving 41 soft tissue free flap procedures. Methods From 1994 to 2012, 41 patients who underwent oral and maxillofacial-head and neck soft tissue free flap reconstruction at the Department of Oral and Maxillofacial-Head and Neck Surgical Oncology, Hospital and College of Stomatology,Xi＇an Jiaotong University,were reviewed with clinicopathologic data. Results The 41 patients included 24 men and 17 women with a mean age of 54 years. A total of 41 soft tissue free flaps were performed to reconstruct different anatomical structures in the head and neck region including oral mucosa, facial bone, head and neck skin. Two types of soft tissue free flaps were used to reconstruct surgical defects, including radial forearm flap and latissimus dorsi- myocutaneous flap. Radial forearm flaps were used for 37cases and latissimus dorsi-myocutaneous flaps were 4 cases. Of 41 cases, 39 were successful, with an overall success rate of 95.1%. There were 2 free flap failures, including one radial forearm flap and one latissimus dorsi-myocutaneous flap （partial flap necrosis）; hence, the flap success rates for radial forearm flap and latissimus dorsi- myocutaneous were,respectively, 97.3% and 87.5%. Conclusions Radial forearm flap and latissimus dorsi-myocutaneous flap are reliable soft tissue free flaps to repair oral and maxillofacial-head and neck area with high success rate, which resulted in good functionally and cosmetically with fewer complications both donor and recipient sites.

关 键 词：医疗卫生行业 整容 医学美容 皮肤 

分 类 号：R197[医药卫生—卫生事业管理] R622[医药卫生—公共卫生与预防医学]