Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China.
Head Neck. 2021 Mar;43(3):942-948. doi: 10.1002/hed.26564. Epub 2020 Dec 7.
To describe a technique in which the anterior jugular vein is preserved in the infrahyoid myocutaneous flap (IHMCF) to augment skin paddle venous drainage.
From April 2018 to December 2019, 14 patients with primary oral cancer underwent radical resection and IHMCF reconstruction. Three-dimensional reconstruction of the anterior jugular vein was used to assess the venous drainage of the skin paddle preoperatively. The anterior jugular vein was preserved during dissection of the flap. Healing of the recipient and donor sites was observed.
Total flap necrosis occurred in one patient and marginal skin paddle necrosis occurred in one patient. No flap complications occurred in the other 12 patients.
This new approach to augment venous drainage of the IHMCF appears to be effective for decreasing risk of flap necrosis.
描述一种在舌骨下肌皮瓣（IHMCF）中保留颈前静脉的技术，以增加皮瓣静脉引流。
2018 年 4 月至 2019 年 12 月，14 例原发性口腔癌患者接受根治性切除术和 IHMCF 重建。术前使用颈前静脉三维重建评估皮瓣静脉引流情况。在游离皮瓣时保留颈前静脉。观察受区和供区的愈合情况。
1 例患者出现全层皮瓣坏死，1 例患者出现边缘皮瓣坏死。其余 12 例患者无皮瓣并发症。
这种增加 IHMCF 静脉引流的新方法似乎可降低皮瓣坏死的风险。
