Wang W H, Deng J Y, Xu B, Zhu J, Xia B, Zhang B J
Department of Oral and Maxillofacial Surgery, Affiliated Stomatology Hospital of Kunming Medical University, Kunming 650031, China.
Department of Computer Tomography, Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China.
J Craniomaxillofac Surg. 2014 Dec;42(8):2041-4. doi: 10.1016/j.jcms.2014.09.011. Epub 2014 Oct 5.
The purpose of this study was to assess the therapeutic efficacy of oral perforated defect reconstruction with a double anterior (anterolateral and anteromedial) thigh flap through the modified lateral lip-submandibular approach.
From July 2010 to August 2013, eight patients with oral perforated defects secondary to oral cancer ablation involving the superior partial mandible or the posterior partial maxilla, with immediate reconstruction by double anterior (anterolateral and anteromedial) thigh flaps, were retrospectively enrolled into this study.
All double anterior flaps were musculocutaneous flaps. Seven double flaps resulted in good functional and aesthetic outcomes with complete flap survival. One patient required operative exploration in the postoperative period due to thrombosis in the external jugular vein. After the salvage, one of the double flaps in the intraoral region resulted in partial failure of the superficial skin of the flap. No functional impairment at the donor sites occurred in any of the cases.
The double anterior (anterolateral and anteromedial) thigh flap is a feasible and acceptable technique for reconstruction of an oral perforated defect involving the mandible or the maxilla through the modified lateral lip-submandibular approach. It presents a very acceptable aesthetic and functional result with the additional advantage of low morbidity at the donor site.
本研究旨在评估通过改良外侧唇 - 下颌下入路，采用双侧股前（股外侧和股内侧）皮瓣修复口腔穿孔性缺损的治疗效果。
回顾性纳入2010年7月至2013年8月间8例因口腔癌切除导致上颌骨后部或下颌骨上部部分缺损继发口腔穿孔性缺损的患者，采用双侧股前（股外侧和股内侧）皮瓣即刻修复。
所有双侧股前皮瓣均为肌皮瓣。7例双侧皮瓣功能和美学效果良好，皮瓣完全存活。1例患者术后因颈外静脉血栓形成需手术探查。抢救后，口腔内区域的双侧皮瓣之一皮瓣浅层皮肤部分坏死。所有病例供区均未出现功能障碍。
双侧股前（股外侧和股内侧）皮瓣是一种可行且可接受的技术，通过改良外侧唇 - 下颌下入路修复涉及下颌骨或上颌骨的口腔穿孔性缺损。它具有非常良好的美学和功能效果，且供区并发症发生率低。
