Mao Chi, Peng Xin, Yu Guangyan
Peking University School of Stomatology.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2002 Feb;20(1):30-2.
The paper reviewed the effectiveness and reliability of skin paddles of free fibula flaps in the reconstruction of maxillofacial defects.
Fifty-five consecutive free fibula osteocutaneous flap transfers performed from June 21, 1999 to October 31, 2000 were reviewed. The skin paddles of each flap were analyzed in terms of surgical design, blood supply, size, reconstruction location, and survival.
Fifty-seven skin paddles were used for the 55 free fibula flaps (double skin paddles for 2 flaps), 37 were nurtured by one perforator, 18 by two and two by 3 perforators. Twenty-eight skin paddles were used for intraoral reconstruction, 7 for extraoral reconstruction, 1 for both intraoral and extraoral reconstruction, 2 for soft tissue augmentation, and the remaining 19 were simply used as window for monitoring the blood flow of fibula flap. One free fibula flap with one skin paddle was lost because of venous thrombosis, and the other 54 flaps survived completely, with 100% survival of 56 skin paddles.
The skin paddle of free fibula flap is safe and reliable. It can be used for all kinds of soft tissue reconstruction, as well as window for monitoring the blood flow of fibula flap after operation.
本文回顾了游离腓骨瓣皮瓣在颌面缺损重建中的有效性和可靠性。
回顾了1999年6月21日至2000年10月31日连续进行的55例游离腓骨骨皮瓣移植。对每个皮瓣的皮瓣进行了手术设计、血供、大小、重建部位和存活情况的分析。
55例游离腓骨瓣使用了57个皮瓣（2个皮瓣为双皮瓣），37个由1个穿支供养，18个由2个穿支供养，2个由3个穿支供养。28个皮瓣用于口腔内重建，7个用于口腔外重建，1个用于口腔内和口腔外重建，2个用于软组织增厚，其余19个仅用作监测腓骨瓣血流的窗口。1例带1个皮瓣的游离腓骨瓣因静脉血栓形成而丢失，其余54个皮瓣完全存活，56个皮瓣的存活率为100%。
游离腓骨瓣皮瓣安全可靠。它可用于各种软组织重建，也可作为术后监测腓骨瓣血流的窗口。
