Disa J J, Pusic A L, Hidalgo D H, Cordeiro P G
Division of Plastic and Reconstructive Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.
Ann Plast Surg. 2001 Oct;47(4):385-9. doi: 10.1097/00000637-200110000-00004.
The purpose of this study was to review the authors' 13-year experience with free tissue transfer for head and neck oncology patients. This study was a retrospective review of 728 free flaps performed in 698 patients. Recipient sites were subdivided by region into the mandible (N = 253), mid face/orbit (N = 190), hypopharynx (N = 134), oral cavity (N = 104), skull base (N = 36), and scalp (N = 11). The overall free flap success rate was 98.6%. Seventy-nine flaps (10.9%) were reexplored for vascular compromise. Ten flaps (1.4%) were lost in their entirety. The overall complication rate was 17.5%. Four donor sites (forearm, fibula, rectus, and jejunum) were used for 92% of the patients. The results of the study confirm the efficacy of free tissue transfer in the reconstruction of oncological head and neck defects. In this series the free forearm, fibula, rectus, and jejunum flaps have become the workhorse donor sites for the vast majority of defects.
本研究的目的是回顾作者13年来对头颈部肿瘤患者进行游离组织移植的经验。本研究是对698例患者实施的728例游离皮瓣的回顾性研究。受区按部位分为下颌骨（N = 253）、面中部/眼眶（N = 190）、下咽（N = 134）、口腔（N = 104）、颅底（N = 36）和头皮（N = 11）。游离皮瓣的总体成功率为98.6%。79例皮瓣（10.9%）因血管并发症而再次手术探查。10例皮瓣（1.4%）全部失败。总体并发症发生率为17.5%。92%的患者使用了4个供区（前臂、腓骨、腹直肌和空肠）。研究结果证实了游离组织移植在头颈部肿瘤缺损重建中的有效性。在本系列研究中，游离前臂皮瓣、腓骨皮瓣、腹直肌皮瓣和空肠皮瓣已成为绝大多数缺损修复的主要供区。
