Ricard A-S, Laurentjoye M, Faucher A, Zwetyenga N, Siberchicot F, Majoufre-Lefebvre C
Service de chirurgie maxillofaciale, CHU de Bordeaux, France.
Rev Stomatol Chir Maxillofac. 2009 Jun;110(3):135-7. doi: 10.1016/j.stomax.2008.11.004. Epub 2009 Apr 28.
The infrahyoid myocutaneous flap was described by Wang et al. in 1986. The horizontal design of the skin paddle is a modification of this technique allowing for a smaller scar. We have been systematically using this modified technique for 10 years. We had for aim to describe the interest of the horizontal infrahyoid myocutaneous flap for cervicofacial carcinology.
A horizontal infrahyoid myocutaneous flap procedure was performed in 276 cervicofacial carcinology patients for lesions of the mouth floor, the mandibular gum, the oropharynx and the tongue between March 1997 and March 2007.
No complications were observed in 252 patients. No patient presented with total flap necrosis.
Modifying the infrahyoid myocutaneous flap technique with a horizontal design of the skin paddle does not modify the reliability of the flap and prevents more extensive scars. The main indications of this technique are defects of the mouth floor, the tongue and the oropharynx.
舌骨下肌皮瓣由Wang等人于1986年描述。皮瓣的水平设计是对该技术的一种改良，可减少瘢痕。我们系统地使用这种改良技术已有10年。我们旨在描述水平舌骨下肌皮瓣在颌面肿瘤学中的应用价值。
1997年3月至2007年3月期间，对276例颌面肿瘤患者实施了水平舌骨下肌皮瓣手术，用于修复口底、下颌牙龈、口咽和舌部的病变。
252例患者未观察到并发症。无患者出现皮瓣完全坏死。
采用皮瓣水平设计改良舌骨下肌皮瓣技术，不会改变皮瓣的可靠性，且可避免更广泛的瘢痕。该技术的主要适应证为口底、舌和口咽的缺损。
