Bootz F
Universitäts-HNO-Klinik Tübingen.
HNO. 1988 Nov;36(11):462-6.
The radial forearm flap is a versatile method for reconstruction of the pharynx and the oral cavity after tumour resection. We prefer the distal volar forearm since the flap is thin, with little subcutaneous fat. The vascular pedicle is rather long. Twenty patients with carcinoma of the oropharynx and the oral cavity have been operated on. Thirteen patients had carcinomas of the oropharynx, 7 of the oral cavity. In all cases the distal flap was used. The size varied from 3 x 5 cm to 10 x 7 cm. Twelve patients underwent radiotherapy which did not do any damage to the flap. Fifteen patients had a good functional result. Two patients suffered recurrences after a few months. One patient died from respiratory problems. One flap underwent a partial necrosis due to venous congestion. The donor defect was closed with split skin from the thigh.
桡侧前臂皮瓣是肿瘤切除后用于咽和口腔重建的一种多功能方法。我们更倾向于采用前臂掌侧远端皮瓣，因为该皮瓣薄，皮下脂肪少。血管蒂相当长。20例口咽和口腔癌患者接受了手术。其中13例为口咽癌，7例为口腔癌。所有病例均采用远端皮瓣。皮瓣大小从3×5厘米到10×7厘米不等。12例患者接受了放疗，皮瓣未受任何损伤。15例患者功能恢复良好。2例患者在几个月后复发。1例患者死于呼吸问题。1例皮瓣因静脉淤血发生部分坏死。供区缺损用大腿的断层皮片封闭。
