折叠桡侧前臂游离皮瓣修复全软腭缺损：手术技术
Folded Radial Forearm Free Flap for the Reconstruction of Total Soft Palate Defects: Operative Technique.
作者信息
Nocini Riccardo, Favero Vittorio, Molteni Gabriele, Pinto Valentina, Chiarini Luigi, Nocini Pier Francesco
机构信息
Unit of Otolaryngology, Head and Neck Department, University of Verona, Italy.
Unit of Maxillo-Facial Surgery and Dentistry, Head and Neck Department, University of Verona, Italy.
出版信息
Plast Reconstr Surg Glob Open. 2023 Mar 6;11(3):e4868. doi: 10.1097/GOX.0000000000004868. eCollection 2023 Mar.
UNLABELLED
The surgical plan to reconstruct the palate must be carefully prepared given the morphological peculiarity of the soft palate forming both the roof of the mouth and the floor of the nasal cavity. This article focuses on the use of folded radial forearm free flaps to manage isolated defects of the soft palate in the absence of tonsillar pillar involvement.
METHODS
Three patients affected by squamous cell carcinoma of the palate underwent resection of the soft palate and immediate reconstruction with a folded radial forearm free flap.
RESULTS
All three patients showed good short-term morphological-functional outcomes as far as swallowing, breathing, and phonation were concerned.
CONCLUSIONS
The folded radial forearm free flap seems to be an efficacious way to manage localized defects of the soft palate, given the positive outcomes of the three patients treated, and in accordance with other authors. In general, the radial forearm free flap was confirmed to be a versatile solution for those intraoral defects of the soft tissue requiring a limited quantity of volume as in the case of the soft palate.
未标注
鉴于软腭形成口腔顶部和鼻腔底部的形态学特殊性，重建腭部的手术方案必须精心准备。本文重点介绍在扁桃体柱未受累的情况下，使用折叠式桡侧前臂游离皮瓣处理软腭孤立性缺损。
方法
3例腭部鳞状细胞癌患者接受了软腭切除，并立即用折叠式桡侧前臂游离皮瓣进行重建。
结果
就吞咽、呼吸和发声而言，所有3例患者均显示出良好的短期形态功能结果。
结论
鉴于3例接受治疗患者的积极结果，并与其他作者的观点一致，折叠式桡侧前臂游离皮瓣似乎是处理软腭局限性缺损的有效方法。总体而言，桡侧前臂游离皮瓣被证实是处理软组织口腔内缺损（如软腭缺损）且所需组织量有限的通用解决方案。
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