上臂外侧皮瓣在口腔颌面缺损修复中的应用  

Application of lateral arm flap in the repair of oral and maxillofacial defects

作　　者：李浩[1] 郑维银[1] 羊书勇[1] 李焰[1] 吴坡[1] 鄢兰元[1] 

机构地区：[1]成都军区总医院附属口腔医院,610021

出　　处：《实用口腔医学杂志》2014年第5期658-661,共4页Journal of Practical Stomatology

摘　　要：目的：探讨游离上臂外侧皮瓣（LAFF）在口腔颌面部恶性肿瘤根治术后软组织缺损修复重建中的应用价值。方法：自2012-01～2012-12，应用LAFF修复口腔颌面部肿瘤术后缺损的患者22例，观察记录皮瓣大小、制取时间、血管直径、吻合时间、组织瓣成活情况、手术修复成功率及术后效果，评价其优缺点。结果：皮瓣面积最大14cm×8cm，最小6cm×4cm。术后22例皮瓣均成活，未发生血管危象；并发症少，修复效果满意。结论：LAFF解剖位置恒定，制取简单，能满足常见口腔颌面部肿瘤术后软组织缺损修复。Objective：To investigate the value of the lateral arm free flap （LAFF）in the repair of oral and maxillofacial defects af-ter resection of malignant tumor.Methods：22 cases received LAFF from January 2012 to December 2012 were studied.The flap size,preparation time,vessel diameter,anastomosis time,survival situation,success rate and postoperative results were observed. Results：The flap ranged from 14 cm ×8 cm to 6 cm ×4 cm.All flaps survived well without vascular crisis.Repair results were satis-factory.Conclusion：LAFF,with constant anatomy and simple preparation,can be applied in the repair of oral and maxillofacial de-fects after tumor resection.

关 键 词：上臂外侧皮瓣 口腔颌面部恶性肿瘤 显微外科 前臂皮瓣 股前外侧皮瓣 

分 类 号：R782.2[医药卫生—口腔医学]