Yang Zhao-hui, Zhang Da-ming, Chen Wei-liang, Wang You-yuan, Fan Song
Department of Oral and Maxillofacial Surgery, Sun Yet-sen Memorial Hospital, Sun Yat-sen University, China.
Br J Oral Maxillofac Surg. 2013 Dec;51(8):731-5. doi: 10.1016/j.bjoms.2013.09.004. Epub 2013 Oct 1.
Reconstruction of through-and-through defects of the head and neck is a challenge. In this clinical study we assessed the feasibility of the folded, extended, vertical, lower trapezius island myocutaneous flap (TIMF) for the reconstruction of 16 large through-and-through defects of the oral cavity, which were reconstructed after resection of oral cancer. The skin paddle was 5-7 cm wide and 11-20 cm long. The folded flap provides both inner and outer linings for through-and-through defects, and all the flaps survived. The appearance of the head and neck was acceptable, and oral function was satisfactory. The folded extended vertical lower TIMF is a large, simple, and reliable flap that is preferred for the reconstruction of large through-and-through defects after resection of oral carcinoma.
头颈部贯通性缺损的重建是一项挑战。在这项临床研究中，我们评估了折叠式、延伸式、垂直式、下斜方肌岛状肌皮瓣（TIMF）用于重建16例口腔大贯通性缺损的可行性，这些缺损是在口腔癌切除术后进行重建的。皮瓣宽5 - 7厘米，长11 - 20厘米。折叠皮瓣为贯通性缺损提供了内、外两层衬里，所有皮瓣均存活。头颈部外观可接受，口腔功能令人满意。折叠延伸垂直下斜方肌岛状肌皮瓣是一种大型、简单且可靠的皮瓣，是口腔癌切除术后重建大型贯通性缺损的首选。
