Yadav Santosh Kumar, Shrestha Suraksha
Department of Oral and Maxillofacial Surgery, College of Medical Sciences-Teaching Hospital, Bharatpur, Chitwan, Nepal.
Department of Prosthodontics, College of Medical Sciences-Teaching Hospital, Bharatpur, Chitwan, Nepal.
J Nepal Health Res Counc. 2017 Sep 8;15(2):88-95. doi: 10.3126/jnhrc.v15i2.18157.
Microsurgical free flaps have become the first choice for reconstruction of oral and maxillofacial (OMF) defects after tumor resection. Till recently the pectoralis major myocutaneous flap (PMMC) was considered to be the benchmark for OMF reconstruction. This philosophy is changing fast with rapid advancement in reconstructive microsurgery. Years of innovation in reconstructive microsurgery has given us a reasonably good number of excellent flaps. Tremendous work has been put into producing some exceptionally brilliant research articles, sometimes contradicting each other. This has led to the need for clarity in some areas in this field. This article reviews the most common microvascular free flaps (MFF) namely, radial forearm free flap (RFFF), anterolateral thigh flap (ALT) and free fibula flap (FFF) that are commonly used in OMF reconstruction. Since they can cater to almost all sizeable defects we come across after ablative surgery in the OMF region, they can aptly be titled as the workhorses of OMF reconstruction with regard to free flaps. Key words: Free tissue flaps, oral surgical procedures, microsurgery.
显微外科游离皮瓣已成为肿瘤切除后口腔颌面部（OMF）缺损修复的首选方法。直到最近，胸大肌肌皮瓣（PMMC）仍被视为OMF修复的标准术式。随着重建显微外科的迅速发展，这种观念正在迅速改变。多年来重建显微外科的创新为我们提供了相当数量的优秀皮瓣。人们付出了巨大努力撰写了一些非常出色的研究文章，但有时相互矛盾。这导致该领域某些方面需要明确。本文回顾了最常用的显微血管游离皮瓣（MFF），即桡侧前臂游离皮瓣（RFFF）、股前外侧皮瓣（ALT）和游离腓骨皮瓣（FFF），这些皮瓣常用于OMF修复。由于它们几乎可以满足我们在OMF区域切除术后遇到的所有较大缺损，就游离皮瓣而言，它们可恰当地被称为OMF修复的主力军。 关键词：游离组织皮瓣；口腔外科手术；显微外科
