彩色多普勒超声定位辅助的旋髂浅动脉穿支皮瓣用于同类颊部重建
Superficial circumflex iliac artery perforator flap aided by color Doppler sonography mapping for like-with-like buccal reconstruction.
作者信息
Jin Shufang, He Yue, Tian Zhuowei, Feng Shaoqing, Zhang Yixin
机构信息
Department of Oromaxillofacial-Head and Neck Oncology, Faculty of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
Department of Oromaxillofacial-Head and Neck Oncology, Faculty of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
出版信息
Oral Surg Oral Med Oral Pathol Oral Radiol. 2015 Feb;119(2):170-6. doi: 10.1016/j.oooo.2014.10.024. Epub 2014 Nov 15.
OBJECTIVE
To assess an alternative method for buccal reconstruction using a superficial circumflex iliac artery perforator flap (SCIP) with preoperative color Doppler sonography mapping.
STUDY DESIGN
From January 2014 to June 2014, we enrolled six patients with buccal defects that occurred following cancer resection. Surgical procedures, superficial circumflex iliac artery perforator flap anatomy, and the outcomes are described.
RESULTS
The flap sizes measured 30 to 63 cm(2). The mean diameter of the superficial circumflex iliac artery was 0.6 mm and of the vein was 1.1 mm. The mean arterial pedicle length was 6.9 cm, and the venous pedicle length was 7.3 cm. The mean reduction of mouth-open width was 0.4 cm. No flap failure was evident, and a good aesthetic outcome was obtained in all cases.
CONCLUSIONS
The SCIP flap is a reliable and pliable flap with long vascular pedicles, hidden donor site morbidity, and perfect texture match for buccal defect reconstruction.
目的
评估一种采用术前彩色多普勒超声定位的旋髂浅动脉穿支皮瓣（SCIP）进行颊部重建的替代方法。
研究设计
2014年1月至2014年6月，我们纳入了6例癌症切除术后出现颊部缺损的患者。描述了手术过程、旋髂浅动脉穿支皮瓣的解剖结构及结果。
结果
皮瓣面积为30至63平方厘米。旋髂浅动脉平均直径为0.6毫米，静脉平均直径为1.1毫米。动脉蒂平均长度为6.9厘米，静脉蒂长度为7.3厘米。平均张口宽度减少0.4厘米。未出现皮瓣坏死，所有病例均获得了良好的美学效果。
结论
SCIP皮瓣是一种可靠且灵活的皮瓣，血管蒂长，供区并发症隐匿，质地与颊部缺损完美匹配，可用于颊部缺损重建。
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