You Yun-Hua, Chen Wei-Liang, Wang Yue-Ping, Liang Jun, Zhang Da-Ming
Department of Oral and Maxillofacial Surgery, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
J Craniofac Surg. 2009 Nov;20(6):2217-20. doi: 10.1097/SCS.0b013e3181bf84d7.
This study assessed the reliability of the reverse facial-submental artery island flap for reconstructing maxillary defects. Twelve patients with cancer underwent surgical resection and sequential maxillary reconstruction using a reverse facial-submental artery island flap. There were 9 men and 3 women. The patients ranged in age from 42 to 73 years. Palate squamous cell carcinoma was present in 7 cases; and maxillary gingival squamous cell carcinoma, in 5 cases. The remaining defects were classified as class 1 in one case, class 2a in 8 cases, and class 3b in 3 cases. The sizes of the skin paddle varied from a minimum of 4 x 12 cm to a maximum of 5 x 12 cm. No flaps failed. There were no donor-site problems. The patients were followed up for 16 to 30 months; one case of tumor local recurrence was observed. The reverse facial-submental artery island flap is safe, quick, and simple to elevate. The flap can be used reliably for reconstructing maxillary defects.
本研究评估了逆向面-颏下动脉岛状皮瓣修复上颌骨缺损的可靠性。12例癌症患者接受了手术切除，并采用逆向面-颏下动脉岛状皮瓣进行上颌骨重建。其中男性9例，女性3例。患者年龄在42岁至73岁之间。腭部鳞状细胞癌7例；上颌牙龈鳞状细胞癌5例。其余缺损1例为1类，8例为2a类，3例为3b类。皮瓣面积最小为4×12 cm，最大为5×12 cm。所有皮瓣均未失败。供区无问题。患者随访16至30个月；观察到1例肿瘤局部复发。逆向面-颏下动脉岛状皮瓣安全、快速，易于掀起。该皮瓣可可靠地用于修复上颌骨缺损。
