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采用成比例局部全厚皮片修复桡侧前臂游离皮瓣供区缺损：一种新设计的病例系列研究

Closure of radial forearm free flap donor-site defect with proportional local full-thickness skin graft: case series study of a new design.

作者信息

Han Yoon-Sic, Lee Ho

机构信息

Department of Oral and Maxillofacial Surgery, Section of Dentistry, SMG-SNU Boramae Medical Center, Seoul, Korea.

出版信息

J Korean Assoc Oral Maxillofac Surg. 2021 Dec 31;47(6):427-431. doi: 10.5125/jkaoms.2021.47.6.427.

DOI:10.5125/jkaoms.2021.47.6.427
PMID:34969015
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8721416/
Abstract

OBJECTIVES

The aim of this study was to describe a simple, convenient, and reliable new technique using local full-thickness skin graft (FTSG) for skin coverage of a donor-site defect of the radial forearm free flap (RFFF). Patients and.

METHODS

Between April 2016 and April 2021, five patients with oral squamous cell carcinoma underwent mass resection combined with RFFF reconstruction. After RFFF harvesting, donor-site defects were restored by proportional local FTSG.

RESULTS

The donor-site defects ranged in size from 24 to 41.25 cm, with a mean of 33.05 cm. Good or acceptable esthetic outcomes were obtained in all five patients. There was no dehiscence, skin necrosis, wound infection, or severe scarring at the graft site through the end of the postoperative follow-up period, and no patient had any specific functional complaint.

CONCLUSION

The proportional local FTSG showed promising results for skin coverage of the donor-site defect of the RFFF. This technique could decrease the need for skin grafts from other sites.

摘要

目的

本研究的目的是描述一种使用局部全厚皮片移植（FTSG）来覆盖桡侧前臂游离皮瓣（RFFF）供区缺损的简单、便捷且可靠的新技术。患者及……

方法

2016年4月至2021年4月期间，5例口腔鳞状细胞癌患者接受了肿块切除并联合RFFF重建术。在切取RFFF后，通过按比例的局部FTSG修复供区缺损。

结果

供区缺损大小在24至41.25平方厘米之间，平均为33.05平方厘米。所有5例患者均获得了良好或可接受的美学效果。直至术后随访期结束，移植部位均未出现裂开、皮肤坏死、伤口感染或严重瘢痕形成，且没有患者有任何特定的功能方面的主诉。

结论

按比例的局部FTSG在覆盖RFFF供区缺损方面显示出有前景的结果。该技术可减少对其他部位皮肤移植的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4681/8721416/a86ebd9919e9/jkaoms-47-6-427-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4681/8721416/743ed790506f/jkaoms-47-6-427-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4681/8721416/a86ebd9919e9/jkaoms-47-6-427-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4681/8721416/743ed790506f/jkaoms-47-6-427-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4681/8721416/a86ebd9919e9/jkaoms-47-6-427-f2.jpg

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本文引用的文献

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Functional and cosmetic outcome after closure of radial forearm free flap donor defect with porcine collagen membrane.使用猪胶原蛋白膜闭合前臂桡侧游离皮瓣供区缺损后的功能和美容效果。
J Craniomaxillofac Surg. 2016 May;44(5):527-32. doi: 10.1016/j.jcms.2016.02.013. Epub 2016 Mar 2.
2
Aesthetic closure of the donor site of a radial forearm free flap with two local curved skin grafts.采用两块局部带蒂皮瓣对桡侧前臂游离皮瓣供区进行美学修复。
J Plast Surg Hand Surg. 2016 Jun;50(3):184-6. doi: 10.3109/2000656X.2016.1147738. Epub 2016 Mar 21.
3
Closure of the Radial Forearm Free Flap Donor Site Using the Combined Local Triangular Full-Thickness Skin Graft.
采用联合局部三角形全厚皮片移植闭合前臂桡侧游离皮瓣供区
J Oral Maxillofac Surg. 2016 Jan;74(1):204-11. doi: 10.1016/j.joms.2015.08.003. Epub 2015 Aug 7.
4
Full-thickness skin graft from the neck for coverage of the radial forearm free flap donor site.取自颈部的全厚皮片用于覆盖桡侧前臂游离皮瓣供区。
J Oral Maxillofac Surg. 2014 Oct;72(10):2054-9. doi: 10.1016/j.joms.2014.05.015. Epub 2014 May 27.
5
Radial forearm free flap surgery: a modified skin-closure technique improving donor-site aesthetic appearance.游离前臂皮瓣移植术：改良的皮瓣闭合技术，改善供区美观。
Acta Otorhinolaryngol Ital. 2012 Jun;32(3):158-63.
6
Closure of the radial forearm donor site using a local hatchet flap: analysis of 45 consecutive cases.使用局部斧形皮瓣关闭前臂桡侧供区：45例连续病例分析
Ann Plast Surg. 2013 Mar;70(3):308-12. doi: 10.1097/SAP.0b013e3182321ba0.
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Closure of the radial forearm free flap donor site defect with a full-thickness skin graft from the inner arm: a preferred technique.采用上臂全厚皮片封闭前臂桡侧游离皮瓣供区缺损：一种优选技术。
J Oral Maxillofac Surg. 2012 Jun;70(6):1459-63. doi: 10.1016/j.joms.2011.05.003. Epub 2011 Aug 5.
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J Craniomaxillofac Surg. 2007 Dec;35(8):369-73. doi: 10.1016/j.jcms.2007.07.004. Epub 2007 Nov 26.