Sassari, Sardinia, Italy From the Maxillofacial Surgery Department, Azienda Ospedaliero-Universitaria di Sassari.
Plast Reconstr Surg. 2014 Jan;133(1):130-136. doi: 10.1097/01.prs.0000435845.33670.64.
The authors evaluate the use of an osteomyocutaneous fibula free flap, combined in a chimeric fashion, with a lateral supramalleolar flap, in 10 patients with composite head and neck defects. All reconstructions were performed successfully. With the exception of one patient who died after disease recurrence, all patients were decannulated and resumed an oral diet. Speech intelligibility was good in seven of 10 patients. Dental implants were used in two of 10 patients, with a total of 10 fixtures placed successfully. The donor site healed without complications in all except one case, where necrosis of the skin graft occurred with fungal infection. The chimeric lateral supramalleolar artery perforator fibula free flap may be a valid option for maximizing the quality of life in patients with composite oromandibular defects.
作者评估了在 10 例头颈部复合缺损患者中，采用组合式腓骨肌皮瓣与外踝上侧方皮瓣联合应用的方法。所有重建均获得成功。除 1 例因疾病复发死亡的患者外，所有患者均拔管并恢复经口进食。10 例患者中有 7 例言语清晰度良好。10 例患者中有 2 例使用了牙种植体，共成功放置了 10 个种植体。除 1 例外踝供区皮瓣均愈合良好，该例患者出现皮肤移植坏死合并真菌感染。组合式外踝上侧方穿支腓骨肌皮瓣游离皮瓣可能是提高复合口颌面部缺损患者生活质量的有效选择。
