Schneck G, Champion P, Recoing J
Rev Stomatol Chir Maxillofac. 1976 Sep;77(6):815-20.
The arch-like pediculated commissural flap utilizes the cutaneous layer of the lower lip, the chin and the sub-mental region which are usually not affected by radiation fields in tumours of the longue, the floor and the gum. Its vascularisation which at first sight appears paradoxical, results from anastomoses between the sub-mental facial artery and the mental branches of the lower dental artery, and those of the buccal artery, a branch of the internal maxillary and the labial coronaries. Used successfully on five occasions, and in one or two operative phases, this flap enables rapid closure of an orostoma within an irradiated field using the only suitable tissue in the immediate vicinity.
拱形带蒂连合瓣利用下唇、颏部及颏下区域的皮肤层，这些部位通常不受舌、口底及牙龈肿瘤放疗野的影响。其血管化乍一看似乎自相矛盾，它源于颏下面动脉与下牙槽动脉的颏支之间以及上颌内动脉分支颊动脉与唇冠状动脉之间的吻合。该皮瓣已成功应用5次，分一至两个手术阶段进行，它能利用紧邻部位唯一合适的组织，在放疗野内快速关闭口腔造口。
