Li Ye-yang, Sun Jing-en, Li Gang, Liang Min
Professor, Guangzhou Medical College, Guangzhou, People's Republic of China; and Director, Department of Burns and Plastic Surgery, Guangzhou Red Cross Hospital, Jinan University, Guangzhou, People's Republic of China.
J Oral Maxillofac Surg. 2013 Oct;71(10):1811.e1-3. doi: 10.1016/j.joms.2013.05.003.
A 42-year-old male patient sustained severe burns from 10-kV, high-voltage electricity on his right cheek. The wound on the right cheek was 12 × 10 cm and was connected to the oral cavity. The teeth, gums, and mandible were exposed. A left radial forearm free flap was designed according to the size and shape of the cheek wound. The superficial portion of the flap was 13 × 9.5 cm, and the lining portion of the flap, replacing the oral mucosa, was 6 × 5 cm. The end of the radial artery was anastomosed to the facial artery contralaterally through a subcutaneous tunnel under his jaw, because the ipsilateral facial artery had been injured. The end of the radial vein was anastomosed to the external jugular vein ipsilaterally. In conclusion, free folding radial forearm flaps could be a good alternative for reconstruction of full-thickness defects of the cheek.
一名42岁男性患者右脸颊被10千伏高压电严重烧伤。右脸颊伤口为12×10厘米，与口腔相通，牙齿、牙龈和下颌骨外露。根据脸颊伤口的大小和形状设计了左桡骨前臂游离皮瓣。皮瓣浅部为13×9.5厘米，用于替代口腔黏膜的皮瓣内衬部分为6×5厘米。由于同侧面动脉受损，桡动脉末端通过下颌下皮下隧道与对侧的面动脉吻合。桡静脉末端与同侧颈外静脉吻合。总之，游离折叠桡骨前臂皮瓣可能是修复脸颊全层缺损的良好选择。
