Kim Hyo-Sik, Ahn Kang-Min, Lee Jee-Ho
Department of Oral and Maxillofacial Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.
J Korean Assoc Oral Maxillofac Surg. 2024 Dec 31;50(6):361-366. doi: 10.5125/jkaoms.2024.50.6.361.
It is crucial to reconstruct extensive soft tissue defects following oral cancer resection to restore both function and aesthetics. Single anterolateral thigh flaps may not suffice for large defects. This report highlights the use of chimeric flaps, which feature multiple paddles with individual perforators, to reconstruct large intraoral and extraoral defects, adapting to wide defects, and covering areas with extensive tissue damage. This case series demonstrates the adaptability and effectiveness of chimeric flaps, demonstrating them to be a superior option for satisfactory healing and functional outcomes in reconstruction of complex defects.
口腔癌切除术后重建广泛的软组织缺损以恢复功能和美观至关重要。对于大面积缺损,单股前外侧皮瓣可能不够用。本报告重点介绍了嵌合皮瓣的应用,该皮瓣具有多个带有独立穿支的皮瓣,用于重建口腔内和口腔外的大面积缺损,适应广泛的缺损,并覆盖组织损伤广泛的区域。该病例系列证明了嵌合皮瓣的适应性和有效性,表明它们是重建复杂缺损时实现满意愈合和功能结果的更佳选择。