Tuncel Umut, Aytaç Selçuk
Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Gaziosmanpasa University, Tokat, Turkey.
J Craniofac Surg. 2012 Jul;23(4):e357-9. doi: 10.1097/SCS.0b013e31825657a6.
The aim of the present clinical study was to evaluate the feasibility of free osseocutaneous radial forearm flap in the reconstruction of full-thickness cheek defect after ablative cancer surgery.
A retrospective review of data was obtained from consecutive patients requiring free osseocutaneous radial forearm flap to recover both the cutaneous and bone deficit in major full-thickness cheek defect after oncologic resection.
Two patients had advanced cheek squamous cell carcinoma. All patients had combined bone and extensive soft-tissue defects. The free osseocutaneous radial forearm flap measuring 10 × 8 cm to 14 × 10 cm was used to reconstruct the major through-and-through cheek defects. No major complications occurred in any patient. The patients were followed up for 6 to 20 months; 1 patient was living with no evidence of disease, and 1 had died of local recurrence.
The free osseocutaneous radial forearm flap to reconstruct major through-and-through cheek soft tissue and bone defects is reliable and an excellent alternative to other options for patients who have full-thickness defect of cheek.
本临床研究旨在评估游离桡骨前臂骨皮瓣在肿瘤切除术后全层颊部缺损重建中的可行性。
回顾性分析连续接受游离桡骨前臂骨皮瓣修复肿瘤切除术后全层颊部大面积皮肤和骨组织缺损患者的数据。
2例患者患有晚期颊部鳞状细胞癌。所有患者均合并骨组织和广泛软组织缺损。采用面积为10×8 cm至14×10 cm的游离桡骨前臂骨皮瓣修复颊部贯通性大缺损。所有患者均未发生严重并发症。对患者进行了6至20个月的随访；1例患者存活且无疾病迹象，1例患者死于局部复发。
游离桡骨前臂骨皮瓣用于重建颊部大面积贯通性软组织和骨组织缺损是可靠的，对于颊部全层缺损患者而言，是优于其他选择的极佳方案。
