Strunski V, Devauchelle B, Dumont X, Goin M
Centre Hospitalier Régional, Amiens.
Ann Otolaryngol Chir Cervicofac. 1987;104(6):459-68.
The free fasciocutaneous forearm flap has been described only recently. Five cases of pharyngeal or oral repair with a forearm flap (FAF) are reported and used as a basis to discuss anatomical features and the technique used for removal of the flap. The relevant literature is reviewed. The FAF appears to be the flap of choice for reparative surgery of pharynx or mouth regions in oncology, the principal advantages of this flap being: fineness, flexibility and plasticity of the skin, reliability and lack of morbidity, and function effectiveness with respect to phonation and feeding. Indications for forearm and myocutaneous flaps in oncology of upper respiratory and digestive tracts are assessed critically, other indications for the forearm flap being cutaneous repair of cervicofacial lesions due to tumor or injury. The forearm flap is of pronounced value for cervicofacial repair surgery and constitutes a new step in the plastic conception of these repair procedures.
游离前臂筋膜皮瓣直到最近才被描述。本文报告了5例采用前臂皮瓣（FAF）修复咽部或口腔的病例，并以此为基础讨论其解剖学特征及皮瓣切取技术。同时回顾了相关文献。前臂皮瓣似乎是肿瘤学中咽或口腔区域修复手术的首选皮瓣，该皮瓣的主要优点包括：皮肤细腻、灵活且可塑性强，可靠性高且并发症少，以及在发声和进食方面功能有效。对上呼吸道和消化道肿瘤中前臂皮瓣和肌皮瓣的适应证进行了严格评估，前臂皮瓣的其他适应证为肿瘤或损伤所致颈面部病变的皮肤修复。前臂皮瓣在颈面部修复手术中具有显著价值，是这些修复手术整形理念的新进展。
