Rashid Mamoon, Tamimy Muhammad Sarmad, Masroor Sabeen, Zia-ul-Islam Muhammad, Manzoor Tahir, Sarwar Saad-ur-Rehman, Tariq Nauman
Department of Plastic Surgery, Shifa International Hospital, Islamabad.
J Coll Physicians Surg Pak. 2012 Aug;22(8):519-23.
To describe the use of radial forearm osteocutaneous free flap in complex mandibular reconstruction.
A case series.
Combined Military Hospital, Rawalpindi, from January 1998 to January 2008.
Patients having a small bony component and a large soft tissue mandibular defect requiring reconstruction were selected. These defects include composite through-and-through defects of the cheek in the retromolar trigone, small lateral bony defects with large intra and extra oral soft tissue defects and small central bony defects with large extra oral tissue loss. Radial forearm osteocutaneous free flap was employed. Complications and graft acceptance were determined at follow-up.
Patients were followed-up for an average period of 28 months. Complications occurred in 8 patients. Wound infection and partial wound dehiscence were the most common complication observed in 3 patients. Non-union at recipient site was seen in 2 patients. Flap donor site healed uneventfully in all patients with no fractures at the donor site.
The radial forearm osteocutaneous flap covers oromandibular defects with large intra-oral and extra oral soft tissue losses. Lateral and anterior mandibular defects were reconstructed satisfactorily in our series.
描述桡骨前臂骨皮瓣在复杂下颌骨重建中的应用。
病例系列研究。
1998年1月至2008年1月，拉瓦尔品第联合军事医院。
选择有小骨成分及需要重建的大面积下颌骨软组织缺损的患者。这些缺损包括磨牙后三角区面颊部复合贯通性缺损、伴有口内及口外软组织大面积缺损的小外侧骨缺损以及伴有口外组织大量缺失的小中央骨缺损。采用桡骨前臂骨皮瓣。随访时确定并发症及移植物的接受情况。
患者平均随访28个月。8例患者出现并发症。3例患者出现的伤口感染和部分伤口裂开是最常见的并发症。2例患者受体部位出现骨不连。所有患者皮瓣供区愈合良好，供区无骨折。
桡骨前臂骨皮瓣可覆盖伴有口内及口外软组织大量缺失的口下颌缺损。在我们的系列研究中，下颌骨外侧和前部缺损得到了满意的重建。
