Lin Pao-Yuan, Kuo Yur-Ren, Chien Chih-Yen, Jeng Seng-Feng
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital - Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung Hsien, Taiwan.
J Reconstr Microsurg. 2009 Mar;25(3):191-5. doi: 10.1055/s-0028-1103508. Epub 2008 Dec 11.
Patients with advanced head and neck cancers require reconstruction with a double free flap, but in some situations, it is extremely difficult to attain the ideal set of recipient vessels for these patients. The patients were divided into two groups: group 1 had one recipient vessel; group 2 had two recipient vessels. Fifty-five patients were enrolled between 2001 and 2005. Double flaps, including a fibula osteoseptocutaneous flap and an anterolateral thigh flap, were used for the reconstruction. In group 1, the second flap was anastomosed at the distal runoff of the fibular flap. Group 1 contained 39 patients and group 2 had 16 patients. No significant differences in the success rate, operating time, days of hospitalization, or complication rate were noted between groups 1 and 2. Thus using one recipient vessel is our first choice for double free-flap reconstruction for head and neck defects.
晚期头颈癌患者需要用双游离皮瓣进行重建，但在某些情况下，为这些患者找到理想的一组受区血管极其困难。患者被分为两组：第1组有一条受区血管；第2组有两条受区血管。2001年至2005年期间共纳入55例患者。采用双皮瓣进行重建，包括腓骨骨膜皮瓣和股前外侧皮瓣。在第1组中，第二个皮瓣在腓骨皮瓣的远端吻合。第1组有39例患者，第2组有16例患者。第1组和第2组在成功率、手术时间、住院天数或并发症发生率方面均未发现显著差异。因此，对于头颈部缺损的双游离皮瓣重建，使用一条受区血管是我们的首选。
