Oranges Carlo M, Ling Barbara, Tremp Mathias, Wettstein Reto, Kalbermatten Daniel F, Schaefer Dirk J
Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, Basel, Switzerland.
Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, Basel, Switzerland
In Vivo. 2018 Jul-Aug;32(4):893-897. doi: 10.21873/invivo.11325.
The radial forearm flap (RFF) and the anterolateral thigh flap (ALT) are commonly used for the reconstruction of head and neck soft-tissue defects. The aim of the study was to investigate and compare the surgical outcomes, complications and systemic condition of the patient after reconstruction of extensive head and neck defects with ALT or RFF following cancer extirpation.
Between August 2011 and November 2013, a total of 36 patients affected by head and neck cancer (31 males and five females; mean age=64.7 years, range=40-86 years) underwent microsurgical reconstruction with 29 RFF and 10 ALT procedures. The surgical outcomes and complications among these two groups were retrospectively analyzed.
The success rate was 97% for the RFF group and 90% for the ALT group, with one total flap loss in each group. Donor-site complications occurred in 6% of the RFF group and in 7% of the ALT group. Seven RFF-treated patients (24%) and two treated with ALT (20%) experienced systemic complications. Statistical analysis confirmed no significant difference between the two groups regarding the variables investigated (p>0.05).
In our experience, ALT and RFF demonstrated analogous practicability and reliability for the reconstruction of head and neck soft-tissue defects, with similar local and systemic complications and donor-site morbidity rates.
桡侧前臂皮瓣（RFF）和股前外侧皮瓣（ALT）常用于头颈部软组织缺损的重建。本研究的目的是调查和比较癌症切除术后使用ALT或RFF重建广泛头颈部缺损后患者的手术效果、并发症及全身状况。
2011年8月至2013年11月期间，共有36例头颈部癌症患者（31例男性，5例女性；平均年龄=64.7岁，范围=40-86岁）接受了显微外科重建手术，其中29例采用RFF，10例采用ALT。对这两组患者的手术效果和并发症进行了回顾性分析。
RFF组成功率为97%，ALT组为90%，每组各有1例皮瓣完全坏死。RFF组6%的患者和ALT组7%的患者出现供区并发症。7例接受RFF治疗的患者（24%）和2例接受ALT治疗的患者（20%）出现全身并发症。统计分析证实，两组在所研究的变量方面无显著差异（p>0.05）。
根据我们的经验，ALT和RFF在头颈部软组织缺损重建方面显示出类似的实用性和可靠性，局部和全身并发症以及供区发病率相似。
