Bucur A, Reboşapcă A, Andreescu B, Slăvescu D, Dincă O, Cioacă Ruxandra, Ionescu H, Negureanu Mariana
Clinica de Chirurgie Orală şi Maxilo-Facială, Spitalul Clinic Universitar de Stomatologie Prof. Dr. Dan Theodorescu, Bucuresti.
Chirurgia (Bucur). 2005 May-Jun;100(3):259-66.
The reconstruction of the oral and maxillofacial defects is difficult, because of the high specialisation of the tissues. In cancer resection, the post-operatory defects are quite important, because of the oncological principle of assuring free margins. The free flap is a modem and nowadays very used method in oral and maxillofacial reconstruction, after the removal of the malignant tumors with this localisation. These flaps are indicated for large defects, when the reconstruction with local or regional flaps is not possible. The wide variety of the raised tissues allows better results, making them the flaps of choice for large defects of the lip and cheek. The main advantages are related to the tri-dimensional extension of the free margins, assuring the quality of life and allowing early initiation of the radiotherapy in oncological patients.
口腔颌面部缺损的重建很困难，因为组织的专业化程度很高。在癌症切除术中，由于要确保切缘阴性的肿瘤学原则，术后缺损相当大。游离皮瓣是一种现代且目前在口腔颌面部重建中广泛应用的方法，用于切除该部位的恶性肿瘤后。当无法用局部或区域皮瓣进行重建时，这些皮瓣适用于大面积缺损。所掀起组织的多样性可带来更好的效果，使其成为唇部和颊部大面积缺损的首选皮瓣。主要优点与游离切缘的三维延伸有关，可确保生活质量，并使肿瘤患者能够尽早开始放疗。
