Jiang Yin-Hua, Tian Ke-Bin, Liu Wei-Dong, Fan Tong-Hai, Li Fang
Department of Oral and Maxillofacial Surgery, Lishui People's Hospital, Lishui Stomatological Hospital, Lishui 323000, Zhejiang Province, China.
Shanghai Kou Qiang Yi Xue. 2007 Feb;16(1):15-7.
To investigate the value of functional reconstruction of the lip and cheek with composite radial forearm-palmaris longus tendon flap.
Composite radial forearm-palmaris longus tendon flap was used in 5 cases, the flap was folded for repair of oral mucosa and external skin, palmaris longus tendon and the remaining orbicularis muscles were sutured so that oral contour and function could be achieved. All the patients were followed up for at least 20 months.
All 5 composite flaps survived well postoperatively. 6 months after reconstruction, the patients had good oral and facial contour; 10-12 months after surgery, the dynamic function of mouth opening and closing as well as mastication was recovered to normal.
Composite radial forearm-palmaris longus tendon flap is reliable and thus recommended for functional reconstruction of the lip and cheek.
探讨采用桡动脉前臂-掌长肌腱复合组织瓣进行唇颊部功能重建的价值。
应用桡动脉前臂-掌长肌腱复合组织瓣5例，将组织瓣折叠修复口腔黏膜及面部皮肤，缝合掌长肌腱与剩余口轮匝肌以恢复口腔外形及功能。所有患者均随访至少20个月。
5例复合组织瓣术后均顺利成活。重建术后6个月，患者口腔及面部外形良好；术后10～12个月，患者张口、闭口及咀嚼等动态功能恢复正常。
桡动脉前臂-掌长肌腱复合组织瓣用于唇颊部功能重建效果可靠，值得推荐。
