Sun Libo, Lan Yuyan, Zhang Lei, Sun Xiaoqiang, Zhang Chunfeng, Wang Changmi, Liang Yunhong
Department of Stomatology，Luzhou People's Hospital，Luzhou，646000，China.
Oral & Maxillofacial Reconstruction and Regeneration of Luzhou Key Laboratory，the Affiliated Stomatological Hospital of Southwest Medica University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Oct;38(10):966-969. doi: 10.13201/j.issn.2096-7993.2024.10.016.
This study prepared vascularized dermal fat flaps and introduced a local split-thickness skin graft from an in situ cutaneous area cutaneous area to manage forearm flap donor sites and evaluated the esthetic and functional outcomes post-operatively. From July 2020 to June 2023, 13 patients with soft tissue defects in Oral and Maxillary Area were repaired with tvascular forearm dermal fat flap. There were 8 males and 5 females, aged from 42-71 years. The flaps ranged from 8 cm×7 cm to 7 cm×5 cm in size. The donor site defects were covered by local split-thickness skin graft from the in situ skins. The color matching degree, surgical scars, ranges of wrist movement and hand sensations in donor forearms were assessed at 6 months after surgery. The tvascular forearm dermal fat flaps for 15 cases all survived. All the local split-thickness skin grafts transplanted with this technique showed primary healing. The follow-up period for 6 months, Donor site exhibited suitabler color matching and there was not severe complications. The vascularized dermal fat flap provides an alternative to conventional forearm flap harvest, which enables primary donor site closure with reduced rates of delayed donor site healing. The vascularized dermal fat flap is a relatively reliable repair method for soft defects in Oral and Maxillary Area.
本研究制备了带血管蒂的真皮脂肪瓣，并从原位皮肤区域引入局部断层皮片来处理前臂皮瓣供区，术后评估其美学和功能结果。2020年7月至2023年6月，13例口腔颌面区域软组织缺损患者采用带血管蒂的前臂真皮脂肪瓣修复。其中男性8例，女性5例，年龄42 - 71岁。皮瓣大小为8 cm×7 cm至7 cm×5 cm。供区缺损采用原位皮肤的局部断层皮片覆盖。术后6个月评估供区前臂的颜色匹配度、手术瘢痕、腕关节活动范围及手部感觉。15例带血管蒂的前臂真皮脂肪瓣全部成活。采用该技术移植的所有局部断层皮片均一期愈合。随访6个月，供区颜色匹配良好，无严重并发症。带血管蒂的真皮脂肪瓣为传统前臂皮瓣切取提供了一种替代方法，可实现供区一期闭合，降低供区延迟愈合率。带血管蒂的真皮脂肪瓣是口腔颌面区域软组织缺损相对可靠的修复方法。
