保留头静脉的折叠前臂皮瓣在颊癌术后缺损重建中的应用  

Application of Fording Radial Free Forearm Flap for Buccal Mucosa Reconstruction After the Resection of Squamous Cell Carcinoma of Mouth

作　　者：张磊 陈南羽 马征 夏德林 ZHANG Lei;CHEN Nanyu;MA Zheng(The Affiliated Stomatological Hospital of Southwest Medical University,Luzhou,646000)

机构地区：[1]西南医科大学附属口腔医院,646000 [2]西南医科大学附属医院,646000 [3]重庆医科大学附属第二医院,400010

出　　处：《实用癌症杂志》2025年第2期266-269,共4页The Practical Journal of Cancer

摘　　要：目的探讨折叠游离前臂皮瓣在颊癌术后缺损修复重建中的应用价值。方法2018年7月至2019年9月应用以桡动静脉为血管蒂的折叠游离前臂皮瓣修复6例颊癌患者切除后的颊部及翼下颌韧带区缺损。以桡动静脉为中心,将皮瓣设计为长条状,游离保留头静脉,并列折叠后增加皮瓣宽度修复颊部缺损,前臂供瓣区直接缝合。术后评价供瓣区恢复情况及手术效果。结果6例患者前臂供瓣区均一期对位缝合,伤口愈合良好,其中2例因局部张力较大表现为切口瘢痕明显,无创口裂开情况发生。所有患者前臂供瓣区术后未出现骨筋膜室综合征等严重并发症,运动感觉功能正常。皮瓣全部存活,组织厚薄适中,颊部软组织外形恢复良好,张口度正常,无明显进食咬颊症状。结论保留头静脉折叠前臂皮瓣可以提供传统前臂皮瓣的长宽大小,供瓣术区一期对位缝合,避免供区植皮开辟第二术区,供区外形及功能良好,是修复颊癌术后组织缺损的一种理想选择。Objective To investigate the value of fording radial free forearm flap for buccal mucosa reconstruction after the resection of squamous cell carcinoma of the mouth.Methods 6 cases of squamous cell carcinomas of buccal mucosa underwent extended resection,and the irregular defects were reconstructed with fording radial free forearm flaps at the same time by rational use of cephalic vein.The effect was evaluated by the appearance and the mouth opening of the reconstructed buccal mucosa.Results All of the 6 flaps survived completely.There was no significant difference in appearance between the modified group and the traditional group.All donor sites were closed directly.All the patients were followd 6-12 months and none of the cases had symptoms of limited mouth opening.Conclusion The modified fording radial free forearm flap can provide abundant tissue volume for buccal mucosa reconstruction as the traditional flap,and the appearance and function are satisfied.All donor sites can be closed directly.

关 键 词：颊癌 缺损 折叠前臂皮瓣 修复重建 

分 类 号：R739.8[医药卫生—肿瘤]