Department of Stomatology, The Second Xiangya Hospital, Central South University.
Department of Stomatology, Xiangya Hospital, Central South University, Changsha, China.
J Craniofac Surg. 2021;32(5):1841-1844. doi: 10.1097/SCS.0000000000007228.
Complex oral and maxillofacial defects are continuously a challenge for reconstructive surgeons. This study evaluates the effects of chimeric anterolateral thigh (ALT) and rectus femoris flaps for the reconstruction of such defects.
A retrospective review was performed of 10 patients who underwent reconstruction of oral and maxillofacial defects with chimeric ALT and rectus femoris flaps from October 2014 through August 2016 at the Second Xiangya Hospital.
All 10 patients were male, with a mean age of 53.6 years. Postoperatively, all flaps survived completely, without vascular compromise or major wound complications. Salivary fistula occurred in 1 patient, and wound effusion of the thigh occurred in another patient. Gradual wound healing was observed after repeated dressing changes. The patients were followed for approximately 3 to 46 months, the appearance and oral functions were recovered well, and no thigh motor dysfunctions were observed.
Because of the convenient flap design, effective avoidance of recipient site complications, lower donor site morbidity, and acceptable functional and esthetic results, chimeric ALT and rectus femoris flaps are a good choice for the reconstruction of complex oral and maxillofacial defects.
复杂的口腔颌面部缺损一直是重建外科医生面临的挑战。本研究评估了嵌合股前外侧（ALT）和股直肌皮瓣在重建此类缺损中的效果。
回顾性分析了 2014 年 10 月至 2016 年 8 月在第二湘雅医院接受嵌合股前外侧和股直肌皮瓣修复口腔颌面部缺损的 10 例患者的资料。
所有 10 例患者均为男性，平均年龄为 53.6 岁。术后所有皮瓣均完全存活，无血管危象或严重伤口并发症。1 例患者出现涎瘘，另 1 例患者大腿伤口积液。经反复换药后，伤口逐渐愈合。患者随访时间约为 3 至 46 个月，外观和口腔功能恢复良好，大腿无运动功能障碍。
由于皮瓣设计方便，有效避免了受区并发症，供区并发症发生率较低，且功能和美观效果可接受，嵌合股前外侧和股直肌皮瓣是修复复杂口腔颌面部缺损的良好选择。
