Deng Zhi-Yuan, Fang Xiao-Dan, Pan Hao, Hu Yan-Jia, Tang Zhan-Gui
Department of Oral and Maxillofacial Surgery, Xiangya Stomatological Hospital of Central South University. Changsha 410008 ,Hunan Province, China. E-mail:
Shanghai Kou Qiang Yi Xue. 2017 Apr;26(2):228-232.
This study was aimed to observe the effects of anterolateral thigh flap for reconstruction of tissue defects after en bloc resection of buccal cancer.
Twenty-three patients with soft tissue defects after en bloc resection of buccal cancer underwent simultaneous reconstruction with anterolateral thigh flap from May, 2013 to May, 2015 were observed. Anterolateral thigh flaps were designed and harvested in form of single or multiple islands to restore the defect in buccal region after surgery. The appearance and function of both the oral and maxillofacial region and the donor site were recorded and evaluated.
All the 23 flaps survived. Only 3 of them experienced vascular crisis within 24 hours after surgery, and recovered gradually after salvage. The success rate was 100%. One to three years of follow-up showed satisfying morphology and function for both the receipt sites and the donor sites. Buccal abscess was observed in 1 patient and recovered after rinsing and drainage. Two patients died of recurrence.
Good effects can be achieved using anterolateral thigh flap to reconstruct buccal defects after en bloc resection of cancer, which is suitable for application in clinical practice.
本研究旨在观察股前外侧皮瓣修复颊癌整块切除术后组织缺损的效果。
观察2013年5月至2015年5月期间23例颊癌整块切除术后软组织缺损患者，同期采用股前外侧皮瓣进行修复。设计并切取单岛或多岛形式的股前外侧皮瓣，修复术后颊部缺损。记录并评价口腔颌面部及供区的外观和功能。
23块皮瓣全部成活。其中仅3块皮瓣术后24小时内发生血管危象，经抢救后逐渐恢复。成功率为100%。随访1至3年，受区和供区的形态和功能均令人满意。1例患者出现颊部脓肿，经冲洗引流后痊愈。2例患者死于复发。
股前外侧皮瓣修复颊癌整块切除术后缺损效果良好，适合临床应用。
