Lutz Barbara S, Wei Fu-Chan
Department of Plastic Surgery, Head & Neck Oncology Center, University Hospital Orebro, Orebro, Sweden.
Clin Plast Surg. 2005 Jul;32(3):421-30, vii. doi: 10.1016/j.cps.2005.02.006.
The aim of reconstruction after resection of head and neck tumors is to achieve acceptable functional and esthetic results with minimal donor site morbidity. Although many flaps have been developed for bone and soft tissue reconstructions, our experience in the past years has identified the anterolateral thigh flap (cutaneous or myocutaneous), the radial forearm flap, and the osteoseptocutaneous fibula flap as the most useful flaps for head and neck reconstruction. These three flaps can be used for reconstruction of almost all kinds of defects, either as a single flap or in combination. The harvest of these flaps is relatively simple and straightforward. All flaps have adequate pedicle vessel length and caliber. Donor site morbidity is negligible. As most reconstructive microsurgeons do not have enough patient volume to master many different kinds of flaps in their professional life, we recommend focusing on these three flaps as workhorse flaps instead of hunting for many other flaps for head and neck reconstruction.
头颈部肿瘤切除术后重建的目的是在供区并发症最小的情况下获得可接受的功能和美学效果。尽管已经开发了许多用于骨和软组织重建的皮瓣，但我们过去几年的经验表明，股前外侧皮瓣（皮肤或肌皮瓣）、桡侧前臂皮瓣和骨膜皮支腓骨瓣是头颈部重建中最有用的皮瓣。这三种皮瓣可单独或联合用于几乎所有类型缺损的重建。这些皮瓣的切取相对简单直接。所有皮瓣都有足够的蒂血管长度和管径。供区并发症可忽略不计。由于大多数重建显微外科医生在职业生涯中没有足够的患者量来掌握许多不同类型的皮瓣，我们建议将重点放在这三种皮瓣作为主力皮瓣上，而不是寻找许多其他用于头颈部重建的皮瓣。
