在放射性复发性口腔癌复合切除术后重建中使用微血管皮瓣，包括游离骨皮瓣。

Use of microvascular flaps including free osteocutaneous flaps in reconstruction after composite resection for radiation-recurrent oral cancer.

作者信息

Rosen I B, Bell M S, Barron P T, Zuker R M, Manktelow R T

出版信息

Am J Surg. 1979 Oct;138(4):544-9. doi: 10.1016/0002-9610(79)90416-1.

Abstract

Fourteen patients underwent microsurgical free flap procedures for reconstruction after composite resection of radiation-recurrent oral cancer. The use of attached metatarsal bone in nine patients for mandibular reconstruction is in our view a significant advance in this field. Two failures occurred, one due to sepsis and one to delayed thrombosis. Our experience indicates that this procedure deserves a place in the surgical treatment of patients afflicted with oral malignancy.

摘要

14例患者在接受放射性复发性口腔癌复合切除术后，接受了显微外科游离皮瓣重建手术。我们认为，9例患者使用附着跖骨进行下颌骨重建是该领域的一项重大进展。出现了2例失败病例，1例因败血症，1例因延迟性血栓形成。我们的经验表明，该手术在口腔恶性肿瘤患者的外科治疗中值得占有一席之地。