Sun Guowen, Lu Mingxing, Hu Qingang, Tang Enyi
From the *Department of Oral and Maxillofacial Surgery, Institute and Hospital of Stomatology, Nanjing University Medical School, Stomatological Hospital of Nanjing, Nanjing, China.
J Craniofac Surg. 2014 Jan;25(1):e31-8. doi: 10.1097/SCS.0b013e3182a2edf5.
The purpose of this study was to assess the clinical features and therapeutic efficacy of extensive through-and-through cheek defects reconstruction with free anterolateral thigh flap.
A total of 11 patients underwent simultaneous tumor radical resection and through-and-through cheek defects reconstruction with free anterolateral thigh flap.
In these 11 patients, 7 patients had undergone the reconstruction of through-and-through cheek defects with the folded anterolateral thigh flap (2 skin islands and an intervening de-epithelialized zone); 4 patients had undergone the reconstruction of through-and-through cheek defects with the 2 separate skin paddles anterolateral thigh flap in 1 single pedicle. All of these 11 flaps were free fasciocutaneous anterolateral thigh flaps. The subcutaneous fat thickness of the anterolateral thigh flap is less than 1.5 cm.
The free anterolateral thigh flap was one of the versatile soft tissue flaps in the extensive through-and-through cheek defects reconstruction.
本研究旨在评估游离股前外侧皮瓣修复广泛贯通性面颊缺损的临床特点及治疗效果。
11例患者同期行肿瘤根治性切除并采用游离股前外侧皮瓣修复贯通性面颊缺损。
11例患者中，7例采用折叠股前外侧皮瓣（2个皮岛及中间去上皮区）修复贯通性面颊缺损；4例采用单蒂双叶股前外侧皮瓣修复贯通性面颊缺损。11例皮瓣均为游离股前外侧筋膜皮瓣。股前外侧皮瓣皮下脂肪厚度小于1.5 cm。
游离股前外侧皮瓣是修复广泛贯通性面颊缺损的多功能软组织皮瓣之一。
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