Motomura Hisashi, Ohba Norihiro, Ohashi Natsuko, Harada Teruichi, Muraoka Michinari, Iguchi Hiroyoshi, Kusuki Makoto, Yamane Hideo
Department of Plastic and Reconstructive Surgery, Osaka City University, Graduate School of Medicine, Osaka, Japan.
Acta Otolaryngol. 2006 Feb;126(2):204-8. doi: 10.1080/00016480500388968.
With our method, general improvement is obtained as compared with traditional split-thickness skin grafting of the radial forearm flap donor site. As our method is simple and easy, the same results can be obtained wherever and by whomever it is performed.
The radial forearm flap is associated with complications of graft take and a poor aesthetic appearance despite its usefulness in reconstructing the oral cavity and oropharynx. We describe a simple technique for improvement of the radial forearm donor site.
We studied 12 patients who underwent reconstruction with radial forearm free flaps following resection of oral or oropharyngeal tumors. We covered the donor site defect using traditional split-thickness skin grafts and performed aftercare with a hydrocolloid dressing and an adhesive sponge to retain moisture and apply compression. After the treatment series, color matching, texture matching, depressive deformity, and hypertrophic scar were evaluated.
The results of comprehensive evaluation of the two patients with premature discontinuation of compression were good. One patient was assigned only 1 point for hypertrophic scar, and another only 1 point for color match. The evaluation of the other 10 patients was excellent.
与传统的前臂桡侧皮瓣供区中厚皮片移植相比，我们的方法取得了总体改善。由于我们的方法简单易行，无论在何处由何人实施，均可获得相同的结果。
尽管前臂桡侧皮瓣在口腔和口咽重建中很有用，但它存在植皮成活的并发症且美观性差。我们描述一种改善前臂桡侧供区的简单技术。
我们研究了12例因口腔或口咽肿瘤切除后接受前臂桡侧游离皮瓣重建的患者。我们使用传统中厚皮片覆盖供区缺损，并使用水胶体敷料和粘性海绵进行术后护理以保持湿润并施加压力。在治疗系列结束后，评估颜色匹配、质地匹配、凹陷畸形和肥厚性瘢痕情况。
2例过早停止加压的患者综合评估结果良好。1例患者肥厚性瘢痕仅评1分，另1例患者颜色匹配仅评1分。其他10例患者的评估结果为优秀。
