Gong Zhaojian, Zhang Shanshan, Li Panchun, Liu Jiang, Xu Yuming
Department of Stomatology, the Second Xiangya Hospital, Central South University, Changsha 410011, China.
Department of Stomatology, Xiangya Hospital, Central South University, Changsha 410008, China.
Oral Oncol. 2021 Jun;117:105295. doi: 10.1016/j.oraloncology.2021.105295. Epub 2021 Apr 20.
The aim of this study was to evaluate the feasibility and efficacy of the femoral artery (FA)-nourished anteromedial thigh (AMT) flap for reconstructing oral and maxillofacial defects.
The authors analyzed a retrospective case series of 13 patients who underwent the reconstruction of oral and maxillofacial defects with the FA-nourished AMT flap. The flap design and the methods for defect reconstruction are described, and the reconstructive efficacy is reported.
Of the 13 patients, 12 were men, and 1 was woman, with an average age of 52.2 years. Of these FA-supplied AMT flaps, 7 were singly used, 5 were combined with the anterolateral thigh (ALT) flap or its chimeric flaps, and 1 was separately used with the ALT flap. Postoperatively, all flaps survived completely, without vascular compromise or major wound complications.
The FA-nourished AMT flap can also be used to reconstruct some common oral and maxillofacial defects, especially as a new alternative to the ALT flap. In addition, this flap can be combined with the ALT flap or its chimeric flaps or separately used with the ALT flap for the reconstruction of complex defects.
本研究旨在评估股动脉（FA）供血的股前内侧（AMT）皮瓣修复口腔颌面部缺损的可行性和疗效。
作者分析了13例采用FA供血的AMT皮瓣修复口腔颌面部缺损患者的回顾性病例系列。描述了皮瓣设计及缺损修复方法，并报告了修复效果。
13例患者中，男性12例，女性1例，平均年龄52.2岁。在这些由FA供血的AMT皮瓣中，7例单独使用，5例与股前外侧（ALT）皮瓣或其嵌合皮瓣联合使用，1例与ALT皮瓣分别使用。术后，所有皮瓣均完全存活，未出现血管危象或严重伤口并发症。
FA供血的AMT皮瓣也可用于修复一些常见的口腔颌面部缺损，尤其是作为ALT皮瓣的一种新的替代选择。此外，该皮瓣可与ALT皮瓣或其嵌合皮瓣联合使用，或与ALT皮瓣分别使用以修复复杂缺损。
