Tomljanović Z, Kovacević M, Tić A, Rakuljić I, Zambelli M, Stalekar H, Kirin I, Ekl D
Chir Maxillofac Plast. 1989;19(1-3):91-6.
In the Department of Surgery, Clinical Hospital Center Rijeka in cooperation with ENT Department and the Department of Maxillofacial Surgery, fifty patients with the mouth and the throat tumor were operated since 1985. The defects were covered with free radial forearm flaps. In seven cases flap did not survived due to thrombosis of the anastomosis. The arterial anastomosis were usually made on the external carotid artery branches. Seven anastomosis were made on the opposite side of the neck because homolateral carotid artery was ligated. In three cases terminolateral anastomosis with common carotid artery was made. In eight patients the bone defect of the lower jaw was reconstructed with vascularized radial bone graft. Irradiation and/or cytostatic therapy was mostly applied two weeks after surgery. The donor site defect has no functional nor aesthetic implications.
自1985年以来，里耶卡临床医院中心外科与耳鼻喉科及颌面外科合作，对50例口腔和咽喉肿瘤患者进行了手术。缺损采用游离桡侧前臂皮瓣覆盖。7例皮瓣因吻合口血栓形成而未存活。动脉吻合通常在外颈动脉分支上进行。7例吻合在颈部对侧进行，因为同侧颈动脉已结扎。3例与颈总动脉进行了端侧吻合。8例患者采用带血管蒂的桡骨移植重建下颌骨缺损。放疗和/或细胞抑制疗法大多在术后两周应用。供区缺损对功能和美观均无影响。
