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采用折叠桡侧前臂皮瓣修复全层颊部缺损:一项回顾性临床研究。

Reconstruction of full-thickness buccal defects with folded radial forearm flaps: A retrospective clinical study.

作者信息

Liu Fei, Wang Lei, Pang Shuang, Kan Quancheng

机构信息

Department of Stomatology, the First Affiliated Hospital of zhengzhou University, Zhengzhou Department of Stomatology, School of Stomatology, Xinxiang Medical Collage, Xinxiang Department of Stomatology, Nanyang Stomatology Hospital, Nanyang Department of Gastroenterology, the First Affiliated Hospital of zhengzhou University, Zhengzhou, PR China.

出版信息

Medicine (Baltimore). 2017 Aug;96(32):e7344. doi: 10.1097/MD.0000000000007344.

DOI:10.1097/MD.0000000000007344
PMID:28796029
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5556195/
Abstract

Our goal was to describe our experience of the folded radial forearm flap (RFF) flap in through-and-through buccal defect reconstructions.Patients who had received a folded RFF flap for full-thickness cheek defect reconstruction were included. The flap success rate and functional results were evaluated.Six patients were enrolled. All flaps survived totally without any complication; the mean flap size was 75.5 (range 32-135) cm. The mean mouth-open width was 4.2 (range 3.5-4.7) cm at 6 months after operation. All patients were satisfied with the appearance and were capable of maintaining a regular oral diet, and no patients complained of an inability to eat in a public setting, microstomia, or drooling.Radial forearm flap was a reliable method for through-and-through buccal reconstruction with high success rate and good functional result.

摘要

我们的目标是描述我们在颊部贯通性缺损重建中应用折叠式桡侧前臂皮瓣(RFF)的经验。纳入接受折叠式RFF皮瓣进行全层颊部缺损重建的患者。评估皮瓣成功率和功能结果。共纳入6例患者。所有皮瓣均完全存活,无任何并发症;皮瓣平均大小为75.5(范围32 - 135)平方厘米。术后6个月时平均开口宽度为4.2(范围3.5 - 4.7)厘米。所有患者对外观满意,能够维持正常的口腔饮食,且无患者抱怨在公共场合无法进食、小口畸形或流口水。桡侧前臂皮瓣是颊部贯通性重建的可靠方法,成功率高,功能效果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7d0/5556195/cadc960b3c45/medi-96-e7344-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7d0/5556195/b19df3c979f8/medi-96-e7344-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7d0/5556195/803e4db33177/medi-96-e7344-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7d0/5556195/baaab55cface/medi-96-e7344-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7d0/5556195/85eae70cb323/medi-96-e7344-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7d0/5556195/cadc960b3c45/medi-96-e7344-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7d0/5556195/b19df3c979f8/medi-96-e7344-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7d0/5556195/803e4db33177/medi-96-e7344-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7d0/5556195/baaab55cface/medi-96-e7344-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7d0/5556195/85eae70cb323/medi-96-e7344-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7d0/5556195/cadc960b3c45/medi-96-e7344-g005.jpg

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Microsurgery. 2017 Sep;37(6):655-660. doi: 10.1002/micr.30164. Epub 2017 Feb 16.
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Versatility of Radial Forearm Free Flap for Intraoral Reconstruction.桡侧前臂游离皮瓣在口腔内重建中的多功能性
Srp Arh Celok Lek. 2015 May-Jun;143(5-6):256-60. doi: 10.2298/sarh1506256j.
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Squamous cell carcinoma of the buccal mucosa: Analysis of clinical presentation, outcome and prognostic factors.
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Mol Clin Oncol. 2013 May;1(3):531-534. doi: 10.3892/mco.2013.86. Epub 2013 Mar 5.
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Assessment of the quality of life of patients with oral cancer after pectoralis major myocutaneous flap reconstruction with a focus on speech.胸大肌肌皮瓣重建术后口腔癌患者生活质量评估,重点关注言语功能。
J Oral Maxillofac Surg. 2013 Nov;71(11):2004.e1-2004.e5. doi: 10.1016/j.joms.2013.07.011.
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Reconstruction of through-and-through oral cavity defects with folded extended vertical lower trapezius island myocutaneous flap.采用折叠延长垂直下斜方肌岛状肌皮瓣修复口腔贯通性缺损。
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