Song Dajiang, Li Zan, Zhou Xiao, Peng Xiaowei, Zhou Bo, Lü Chunliu, Yang Lichang, Peng Wen
Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital, Changsha Hunan, 410008, P.R.China.
Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital, Changsha Hunan, 410008,
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2017 Jan 15;31(1):52-56. doi: 10.7507/1002-1892.201609085.
To investigate the clinical application of relaying anteromedial thigh (AMT) perforator flap in resurfacing of the donor defect after anterolateral thigh (ALT) flap transfer.
Between February 2012 and December 2015, 23 cases of oral carcinoma underwent radical resection; after resection of lesions, the tongue or mouth floor defects were reconstructed by ALT perforator flaps, and the donor sites were repaired with relaying AMT perforator flap at the same stage. There were 21 males and 2 females,with a mean age of 52.6 years (range, 29-74 years). Sixteen patients had tongue squamous cell carcinoma and 7 patients had buccal cancer. According to TNM tumor stage, 3 cases were classified as T N M , 5 cases as T N M , 7 cases as T N M , 5 cases as T N M , and 3 cases as T N M . The disease duration ranged from 6 to 18 months (mean, 8.8 months).
The AMT perforators existed consistently in all patients. All flaps survived, and primary healing of wounds was obtained at recipient sites and donor sites. No vascular crisis, wound dehiscence, or obvious swelling occurred. All patients were followed up 6-20 months (mean, 9.4 months). There was only linear scar at the donor sites, and the function of thighs was normal. The color and contour of the flaps were satisfactory.
The relaying AMT perforator flap is an ideal choice to reconstruct the donor site of ALT flap.
探讨股前内侧穿支皮瓣接力修复股前外侧皮瓣供区缺损的临床应用。
2012年2月至2015年12月，23例口腔癌患者行根治性切除术；病变切除后，采用股前外侧穿支皮瓣修复舌或口底缺损，同期采用股前内侧穿支皮瓣接力修复供区。男21例，女2例，平均年龄52.6岁（29～74岁）。舌鳞状细胞癌16例，颊癌7例。根据TNM肿瘤分期，Ⅰ期3例，Ⅱ期5例，Ⅲ期7例，Ⅳ期5例，Ⅴ期3例。病程6～18个月（平均8.8个月）。
所有患者均有恒定的股前内侧穿支。所有皮瓣均成活，受区和供区伤口均一期愈合。未发生血管危象、伤口裂开或明显肿胀。所有患者随访6～20个月（平均9.4个月）。供区仅留线状瘢痕，大腿功能正常。皮瓣颜色、外形满意。
股前内侧穿支皮瓣接力修复是股前外侧皮瓣供区修复的理想选择。
