游离股前外侧皮瓣修复颌面部复杂缺损  

Reconstruction of maxillofacial defect using free anterolateral thigh flaps after resection

作　　者：周婷[1] 孙国文[1] 张磊[1] 陈欣[1] 曹俊[1] 

机构地区：[1]南京大学医学院附属口腔医院、南京市口腔医院,南京210008

出　　处：《中华显微外科杂志》2017年第1期21-24,共4页Chinese Journal of Microsurgery

基　　金：江苏省临床医学科技专项项目（BL2013005）;江苏省卫生厅课题项目（H201441）;南京市科技发展计划项目（201503038）;南京市医学科技发展资金（ykkl3150）

摘　　要：目的探讨股前外侧组织瓣在颌面部较大缺损及复杂缺损修复的应用效果。方法对2008年1月至2016年3月南京大学附属口腔医院口腔颌面外科422例应用股前外侧组织瓣同期修复颌面部恶性肿瘤切除术后较大缺损的临床病例进行分析，其中男258例，女164例，平均年龄57岁，术后观察随访3-84个月。结果422例移植皮瓣416例成活，成活率为98.6%，其中10例术后血肿，11例静脉血栓，均抢救成功，皮瓣成活，6例皮瓣完全坏死，病例随访3-84个月，平均36.5个月。结论股前外侧组织瓣具有供区隐蔽、皮瓣血管蒂较长、管径与颌面部血管管径匹配、可获得皮瓣组织量大、皮瓣柔软可塑性强等优点，是颌面部较大的复杂缺损修复的理想选择。Objective To explore the value of free anterolateral thigh flaps in the reconstruction of maxillofa- cial defects after resection. Methods Patients were recruited from January, 2008 to March, 2016 in the Department of Oral and Maxillofacial Surgery of Nanjing University. All patients sunder when reconstructive surgery employing an- terolateral thigh myocutaneous flaps follow-up of 3 months to 84 months after operation. Results Among 422 eases, survived completely with satisfied configuration,the survival rate was 98.6%. Postoerative vessel thrombosis occurred in flaps, 21 patients required operative exploration in the perioperative period including 10 flaps with thrombotic events and 11 flaps with venous thrombosis were complete survival after the salvages, and 6 flaps were failure. The mean follow-up was 36.5 months （range： 3 to 84 months）. Conclusion The free anterolateral thigh flap is an ideal choice for reconstruction of maxillofacial defects, as it has many advantages such as abundance volume, easily mold- ing and adjusting the thickness, possessing, long vascular pedicle, composition need to be adjusted according to de- fects, easily concealed donor site, and little donor site complications and malformation.

关 键 词：股前外侧皮瓣 颌面部缺损 重建 显微外科技术 

分 类 号：R782.4[医药卫生—口腔医学]