改良前臂皮瓣在头颈部缺损修复中的应用  

Application of modified forearm skin flap in the repair of head and neck defect following tumor removal

作　　者：李萌 杜洪明 武和明[1] 宋海洋[1] 罗亚东 马虞楠 吴煜农[1] 袁冶[1] 宋晓萌[1] 丁旭[1] LI Meng;DU Hongming;WU Heming;SONG Haiyang;LUO Yadong;MA Yu’nan;WU Yunong;YUAN Ye;SONG Xiaomeng;DING Xu(Department of Oral and Maxillofacial Surgery,Affiliated Stomatological Hospital of Nanjing Medical University,Oral Disease Laboratory of Jiangsu Province,Nanjing Medical University,210000,China)

机构地区：[1]南京医科大学附属口腔医院南京医科大学口腔重点实验室,210000

出　　处：《实用口腔医学杂志》2020年第6期915-918,共4页Journal of Practical Stomatology

摘　　要：目的:探讨无延长切口的改良前臂皮瓣在头颈部肿瘤术后缺损修复中的临床应用价值。方法:收集9例采用改良前臂皮瓣修复头颈部肿瘤术后缺损的病例,所有病例均通过超声刀制备5~8 cm长的皮下隧道来获取前臂皮瓣血管蒂。术后6月随访手部运动是否受限,前臂供区及手部是否存在感觉异常,以及供区美观度。结果:9例患者接受改良前臂皮瓣的修复方式,所有病例皮瓣均存活,其中3例术后手部感觉异常并在6月后恢复,1例出现延迟愈合,术后5月手部运动无明显受限,患者对前臂供皮区美观度的主观评价调查问卷结果平均值8.66分。结论:改良前臂皮瓣是一种可靠的修复头颈部软组织缺损的修复方式。Objective:To investigate the clinical effects of modified forearm flap without extension skin incision in the repair of postoperative defects after head and neck tumor removal.Methods:Modified forearm radial flap was used in 9 cases.All cases were given forearm skin flap with the vascular pedicle by making a 5-8 cm subcutaneous tunnel with the ultrasonic scalpel.Evaluation of the postoperative quality of the scar,the motion of hand and presence of dysesthesia was conducted 6 months after surgery.Results:All flaps survived.3 patients presented dysesthesia in hand and recovered in 6 months.Delayed healing developed in a patient.No significant restriction of hand movement was observed 6 months after surgery in all cases.The average satisfaction score of the subjective questionnaire answered by patients was 8.66.Conclusion:The modified forearm flaps are a reliable choice for the reconstruction of the defects after the resection of the head and neck tumor.

关 键 词：改良前臂皮瓣 美观 并发症 手术方式 

分 类 号：R739.8[医药卫生—肿瘤]