Ma Z C, Sun L B, Zhou H Y
Department of Oral and Maxillofacial Surgery, the Affiliated Stomatology Hospital of Southwest Medical University, Luzhou, 646000, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Jul;32(13):1002-1005. doi: 10.13201/j.issn.1001-1781.2018.13.010.
To investigate the therapeutic effect of folded free radial forearm flaps (RFF) for reconstruction of full-tickness cheek defects after the resection of buccal carcinoma.Seventeen cases of buccal carcinoma received radical neck dissection with cheekectomy and mandibulectomy, and the folded RFF to reconstruct full-tickness cheek defects simultaneously. Preoperative Allen test, ultrasonic doppler blood flow meter examination or computed tomography angiography confirmed good vascular condition of the forearm. RFF were obtained from all patients, and completely survived. During the follow-up period of 6-36 months, the lateral morphology of the cheek was restored well and the mouth opening is normal. Language and swallowing function recovered well, without salivation or cheek biting. There were no obvious complications in the donor site. One case（T₃N₁M₀）died of pulmonary metastatic carcinoma a year later. The success rate is high and the morphology and function recovered well of the folded RFF for reconstruction of full-tickness cheek defects, so it is a reliable method to reconstruct full-tickness cheek defects after the resection of buccal carcinoma.
探讨折叠式游离前臂皮瓣（RFF）修复颊癌切除术后全层颊部缺损的治疗效果。17例颊癌患者行根治性颈清扫术加颊部切除术及下颌骨切除术，同时采用折叠式RFF修复全层颊部缺损。术前Allen试验、超声多普勒血流仪检查或计算机断层血管造影证实前臂血管状况良好。所有患者均获取RFF，且完全存活。在6至36个月的随访期内，颊部外侧形态恢复良好，开口正常。语言和吞咽功能恢复良好，无流涎或咬颊现象。供区无明显并发症。1例（T₃N₁M₀）患者1年后死于肺转移癌。折叠式RFF修复全层颊部缺损成功率高，形态和功能恢复良好，是颊癌切除术后修复全层颊部缺损的可靠方法。
