前臂皮瓣在修复口腔颌面部软组织缺损中的应用  

Application of forearm free flap in the reconstruction of a large defect of oral and maxillofacial tissue

作　　者：王超[1] 向旭[1] 严颖彬[1] 张军[1] 

机构地区：[1]天津市口腔医院口腔颌面外科,天津300041

出　　处：《中国美容整形外科杂志》2017年第12期743-745,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的观察前臂皮瓣修复口腔颌面部恶性肿瘤术后软组织缺损的临床疗效。方法 32例口腔颌面部恶性肿瘤患者在病灶扩大切除术后,采用前臂皮瓣同期修复颌面部软组织缺损,对临床效果进行观察分析。结果 32例前臂皮瓣成活30例,修复成功率为93.7%。制备前臂皮瓣的最大面积为14.0 cm×7.5 cm,最小面积为6.0 cm×4.0 cm。3例出现血管危象,其中2例抢救失败。结论前臂皮瓣是目前修复口腔颌面部恶性肿瘤术后软组织缺损较为理想的皮瓣,其制备简单,安全可靠。Objective To observe the clinical efficacy of forearm free flap used in reconstruction of a large defect of oral and maxillofacial tissue after malignant tumor operation. Methods A defect of maxillofacial soft tissue was repaired by using the forearm flap in the same period after the enlarged resection of the lesion in 32 cases of oral and maxillofacial malignant tumor, and the clinical results were observed and analyzed. Results Flaps survived in thirty of thirty-two cases of forearm flap surgery. The success rate was 93.7%. The maximal size of forearm free flap was 14.0 cm × 7.5 cm and the minimum was 6.0 cm × 4.0 cm. There were 3 cases of vascular crisis. In two of these cases, attempts at rescue failed. Conclusion Forearm free flap was an ideal free flap for reconstruction of a large defect of oral and maxillofacial tissue after malignant tumor operation. It is simple, safe, and reliable.

关 键 词：前臂皮瓣 口腔颌面部软组织缺损 修复重建 

分 类 号：R782.2[医药卫生—口腔医学]