游离股前外侧穿支血管皮瓣修复上颌骨及面中部缺损  

Application of anterolateral thigh free flap to reconstruct defects of the maxillary and midface

作　　者：施友元[1] 林秀安[1] 喻建军[2] 李赞[2] 

机构地区：[1]福建省肿瘤医院头颈外科,福州350000 [2]湖南省肿瘤医院头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第23期2082-2085,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨股前外侧穿支血管皮瓣(ATF)游离移植修复全上颌骨切除后缺损(包括面部皮肤的缺损)的可行性及修复效果。方法:回顾性分析72例行上颌骨全部切除患者的临床资料,其中肿瘤侵犯面部皮肤5例,肿瘤侵犯眶下壁5例。全部患者均用ATFⅠ期修复。结果:除1例患者皮瓣坏死行二次游离皮瓣修复成功,其余患者均一次性移植成功。所有患者对外形效果满意。恶性肿瘤70例。受区与供区总并发症发生率为6.9%。结论:对于全上颌骨缺损后的大面积缺损修复,特别是复杂的合并面部皮肤缺损或包括眶底缺损的患者,是游离股前外侧皮瓣修复的很好的适应证,且并发症小,安全性高,外观满意,值得推广。Objective：To investigate the usefulness of anterolateral thigh flap for reconstruction of the defect after maxillectomy.Method：Seventy-two cases with defect after maxillectomy were constructed with anterolateral thigh flap in our department during 10 years.All cases were undertaken total maxillectomy.Result：All flaps except one were transferred successfully.Patients were satisfied with their appearances.No serious complications had happened.Conclusion：Anterolateral thigh flap could be an donor flap for the reconstruction of the defect after maxillectomy.

关 键 词：上颌肿瘤 修复外科手术 外科皮瓣 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]