股前外侧皮瓣在口腔内缺损重建中的临床应用。
Clinical application of thin anterolateral thigh flap in the reconstruction of intraoral defects.
机构信息
Department of Oral and Maxillofacial Surgery, School of Stomatology, Nanjing University Medical Center, Nanjing University, Stomatological Hospital of Nanjing, Nanjing, People's Republic of China.
出版信息
Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Feb;115(2):185-91. doi: 10.1016/j.oooo.2012.03.030. Epub 2012 Aug 15.
OBJECTIVE
The purpose of this study was to assess the clinical features and therapeutic efficacy of intraoral defect reconstruction with thin anterolateral thigh flaps.
METHODS
A total of 34 patients underwent simultaneous tumor resection and intraoral defect reconstruction with free thin anterolateral thigh flaps.
RESULTS
There were 16 male and 18 female patients; the ratio of males to females was 0.9:1; the mean age was 55.4 years. In these 34 patients, 26 flaps were musculocutaneous perforators (76.5%) and 8 flaps were septocutaneous perforators (23.5%). Partial loss of flap occurred in 2 patients (5.9%).
CONCLUSIONS
The free thin anterolateral thigh flap was the ideal soft tissue flap in intraoral defect reconstruction. This thin flap presents good functional results at the receiving site with the additional advantages of minimal donor-site morbidity and a high level of patient satisfaction.
目的
本研究旨在评估应用薄型股前外侧游离皮瓣进行口腔内缺损重建的临床特点和治疗效果。
方法
共 34 例患者接受了游离薄型股前外侧皮瓣同期肿瘤切除和口腔内缺损重建。
结果
男性 16 例，女性 18 例，男女比例为 0.9:1；平均年龄 55.4 岁。34 例患者中，26 个皮瓣为肌皮穿支（76.5%），8 个皮瓣为皮穿支（23.5%）。2 例患者（5.9%）出现皮瓣部分坏死。
结论
游离薄型股前外侧皮瓣是口腔内缺损重建的理想软组织瓣。这种薄皮瓣在受区具有良好的功能效果，且供区并发症少，患者满意度高。
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