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使用颈胸旋转皮瓣和桡骨前臂游离骨皮瓣修复复杂的多层颊部缺损

Use of cervicothoracic rotation flap and osteocutaneous radial forearm free flap for a complex multilayered cheek defect reconstruction.

作者信息

Tankersley Ashley, Velasco Martinez Ignacio, Medina Abelardo

机构信息

Department of Oral Maxillofacial Surgery and Pathology, School of Dentistry, University of Mississippi Medical Center, Jackson, MS, USA.

Division of Plastic Surgery, Department of Surgery, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.

出版信息

Case Reports Plast Surg Hand Surg. 2020 Aug 14;7(1):98-104. doi: 10.1080/23320885.2020.1806070.

DOI:10.1080/23320885.2020.1806070
PMID:32939364
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7470103/
Abstract

We report the combination of osteocutaneous radial forearm free flap and extensive cervicothoracic flap to reconstruct a large through-and-through cheek and mandibular defect. In patients with difficult clinical settings, this approach reduces operative time and complications without compromising the functional and cosmetic outcomes.

摘要

我们报告了采用桡骨前臂游离骨皮瓣和广泛颈胸皮瓣联合修复大面积贯通性面颊及下颌骨缺损的病例。对于临床情况复杂的患者，这种方法可减少手术时间和并发症，同时不影响功能和美观效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c78/7470103/f61c2cadff2c/ICRP_A_1806070_F0005_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c78/7470103/a449c1126f4e/ICRP_A_1806070_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c78/7470103/08771cb3a7b6/ICRP_A_1806070_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c78/7470103/6cfa625fb520/ICRP_A_1806070_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c78/7470103/d464005f02ba/ICRP_A_1806070_F0004_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c78/7470103/f61c2cadff2c/ICRP_A_1806070_F0005_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c78/7470103/a449c1126f4e/ICRP_A_1806070_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c78/7470103/08771cb3a7b6/ICRP_A_1806070_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c78/7470103/6cfa625fb520/ICRP_A_1806070_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c78/7470103/d464005f02ba/ICRP_A_1806070_F0004_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c78/7470103/f61c2cadff2c/ICRP_A_1806070_F0005_C.jpg

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1
Use of cervicothoracic rotation flap and osteocutaneous radial forearm free flap for a complex multilayered cheek defect reconstruction.使用颈胸旋转皮瓣和桡骨前臂游离骨皮瓣修复复杂的多层颊部缺损
Case Reports Plast Surg Hand Surg. 2020 Aug 14;7(1):98-104. doi: 10.1080/23320885.2020.1806070.
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Radial forearm flap in maxillo-facial surgery.桡侧前臂皮瓣在颌面外科手术中的应用
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引用本文的文献

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Radial forearm free flap in a patient with an unusual radial artery variation: a case report.桡动脉变异患者的游离桡侧前臂皮瓣：一例报告
Arch Plast Surg. 2021 Nov;48(6):646-650. doi: 10.5999/aps.2021.00486. Epub 2021 Nov 15.

本文引用的文献

1
Oromandibular reconstruction using microvascularized bone flap: report of 1038 cases from a single institution.应用带血管化骨瓣的口腔颌面部重建：单中心 1038 例报告。
Int J Oral Maxillofac Surg. 2019 Aug;48(8):1001-1008. doi: 10.1016/j.ijom.2019.02.017. Epub 2019 Mar 25.
2
The Cervicofacial Flap in Cheek Reconstruction: A Guide for Flap Design.用于面颊重建的颈面部皮瓣：皮瓣设计指南
J Oral Maxillofac Surg. 2017 Dec;75(12):2708.e1-2708.e6. doi: 10.1016/j.joms.2017.08.006. Epub 2017 Aug 12.
3
The free scapular flap with latissimus muscle reduces fistulas in mandibular reconstruction.
带背阔肌的游离肩胛皮瓣可减少下颌骨重建中的瘘管形成。
J Plast Reconstr Aesthet Surg. 2016 Jun;69(6):802-808. doi: 10.1016/j.bjps.2016.03.007. Epub 2016 Mar 16.
4
Important aspects of head and neck reconstruction.头颈部重建的重要方面。
Plast Reconstr Surg. 2014 Dec;134(6):968e-980e. doi: 10.1097/PRS.0000000000000722.
5
The use of cervicofacial flap in maxillofacial reconstruction.颈面部皮瓣在颌面重建中的应用。
Oral Maxillofac Surg Clin North Am. 2014 Aug;26(3):389-400. doi: 10.1016/j.coms.2014.05.007. Epub 2014 Jun 26.
6
The supraclavicular artery island flap (SCAIF) for head and neck reconstruction: surgical technique and refinements.锁骨上动脉岛状皮瓣（SCAIF）在头颈部重建中的应用：手术技术与改良。
Otolaryngol Head Neck Surg. 2013 Jun;148(6):933-40. doi: 10.1177/0194599813484288. Epub 2013 Apr 3.
7
The versatile application of cervicofacial and cervicothoracic rotation flaps in head and neck surgery.头颈部外科中颈侧及颈胸旋转皮瓣的多功能应用。
World J Surg Oncol. 2011 Oct 23;9:135. doi: 10.1186/1477-7819-9-135.
8
Cervicofacial advancement-rotation flap in midface reconstruction: forward or reverse?面中部重建中的颈面推进-旋转皮瓣：向前还是向后？
Otolaryngol Head Neck Surg. 2011 Feb;144(2):196-200. doi: 10.1177/0194599810391391.
9
Microsurgical free flap in head and neck reconstruction.头颈部重建中的显微外科游离皮瓣。
Head Neck. 2010 Sep;32(9):1236-45. doi: 10.1002/hed.21284.
10
Deep plane cervicofacial flap: a useful and versatile technique in head and neck surgery.深部平面颈面部皮瓣：头颈外科中一种实用且多功能的技术。
Head Neck. 2006 Jan;28(1):46-55. doi: 10.1002/hed.20317.