Farace F, Fois V E E, Manconi Andrea, Puddu A, Stomeo F, Tullio A, Meloni F, Pisanu G, Rubino C
Plastic Surgery-Burn Unit Department, University of Sassari, V le S Pietro, Sassari, Italy.
J Plast Reconstr Aesthet Surg. 2007;60(6):583-7. doi: 10.1016/j.bjps.2006.11.014. Epub 2007 Jan 24.
Nowadays, microsurgery performed for oral reconstruction of cancer patients, has become the standard treatment in restoring oral functions. The free radial forearm flap (FRFF) is still apparently the first reconstructive choice in oral cavity cancers. Recently the anterolateral thigh flap (ALTF) seemed to challenge the superiority of FRFF. The lack of functional data on which to base this recent supposition is the reason for this new research. Twenty reconstructed patients were enrolled for this study. Speech, swallowing, and donor site complications were studied to assess differences between the two techniques. Results show that difference in function between ALTF and FRFF groups is statistically insignificant. Donor site risks and complications seem to be the only variables among groups. These variables may be used as indicators when making a surgical choice.
如今，为癌症患者进行口腔重建的显微外科手术已成为恢复口腔功能的标准治疗方法。游离桡侧前臂皮瓣（FRFF）显然仍是口腔癌重建的首选。最近，股前外侧皮瓣（ALTF）似乎对FRFF的优势地位提出了挑战。缺乏支持这一最新假设的功能数据是这项新研究的原因。本研究纳入了20例接受重建手术的患者。对语音、吞咽和供区并发症进行了研究，以评估两种技术之间的差异。结果显示，ALTF组和FRFF组之间的功能差异无统计学意义。供区风险和并发症似乎是两组之间唯一的变量。这些变量可作为手术选择时的指标。
