穿支皮瓣在口腔颌面-头颈部缺损重建的应用进展  

Clinical application of perforator flaps in oromaxillofacial head and neck reconstruction

作　　者：金淑芳[1] 何悦[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科,上海市口腔医学重点实验室,上海200011

出　　处：《国际口腔医学杂志》2016年第5期542-548,共7页International Journal of Stomatology

基　　金：国家自然科学基金(81271112);上海市人才发展资金(201312);上海交通大学晨星计划A类(2013)~~

摘　　要：穿支皮瓣是口腔颌面-头颈部软组织缺损修复的一项新技术,是显微外科的新发展。穿支皮瓣保留了供区的肌肉,明显减少了供区畸形的发生。但是穿支血管细小且存在变异,术前血管定位技术的应用和术中细致的显微血管解剖吻合技术是皮瓣移植成功的重要基础。本文对股前外侧皮瓣、腹壁下动脉穿支皮瓣和胸背动脉穿支皮瓣等常用穿支皮瓣在口腔颌面-头颈部缺损修复的应用进展予以综述。The perforator flap is a new technology for oromaxillofacial head and neck soft tissue reconstruction. The flap is also a new development in microsurgery. By minimizing any muscle harvesting and trauma, perforator flaps aim to minimize donor site morbidity. Methods of locating perforating vessels for the use of perforator flaps are described in detail. In these methods, the small size of blood vessels and their variation are considered. Intraoperative careful vascular dissection and anastomosis are important for successful flap transplantation. This review will present the principal perforator flaps, particularly those used in oromaxillofacial head and neck reconstruction, including the anterolateral thigh flap, deep inferior epigastric perforator flap, and thoracodorsal artery perforator flap.

关 键 词：穿支皮瓣 重建 口腔颌面 头颈 

分 类 号：R782[医药卫生—口腔医学]