Mazzarella L A, Friedlander A H, Leeb D C
Arch Otolaryngol. 1978 Jan;104(1):38-41. doi: 10.1001/archotol.1978.00790010042009.
Inadequate function frequently follows extensive obliterative surgery in the oral cavity. Extra tissue will allow closure and reconstruction of the defect with improvement of oral competency. We describe a method wherein a free dorsalis pedis arterialized flap is used for closure of intraoral defects. This method has the following advantages: (1) The flap may be raised while the extirpative portion of the procedure is in progress. (2) There is no need for prior delays of the flap. (3) The skin of the dorsalis pedia area is thinner than that of other flap ares, allowing the flap to be twisted along several planes. (4) A second procedure is not needed to return the base of the "flap pedicle." (5) The time of operation was not found to be greater than that in cases in which a forehead or deltopectoral flap was used.
在口腔进行广泛的闭塞性手术后，功能不足的情况经常出现。额外的组织将有助于关闭和重建缺损，改善口腔功能。我们描述了一种使用游离足背动脉化皮瓣来关闭口腔内缺损的方法。该方法具有以下优点：（1）在手术切除部分进行的同时可以掀起皮瓣。（2）无需预先延迟皮瓣。（3）足背区域的皮肤比其他皮瓣区域的皮肤更薄，使皮瓣能够沿多个平面扭转。（4）不需要进行第二次手术来恢复“皮瓣蒂”的基部。（5）未发现手术时间比使用额部或胸三角皮瓣的病例更长。
