游离腓骨及其复合组织瓣：用于头颈部重建的远位供区组织瓣

Free peroneal and its composite flap: a distant donor for head and neck reconstruction.

作者信息

Saito H, Yoshimura M, Tsuda G, Noda I, Fujieda S, Ohtsubo T, Mori S, Ikeda T, Tanaka N

机构信息

Department of Otolaryngology, Fukui Medical School, Japan.

出版信息

Auris Nasus Larynx. 1993;20(1):63-71. doi: 10.1016/s0385-8146(12)80212-4.

DOI:10.1016/s0385-8146(12)80212-4

PMID:8323492

Abstract

Free peroneal or its composite flap from the leg has been transferred in four patients for oro-mandibular and hypopharyngeal defects following surgery for malignancy. These flaps were successfully transplanted in all patients: two cases of free peroneal flap and two of free fibular graft with skin with no resulting problems with the leg. The peroneal osteocutaneous flap offers the following advantages: The axial vessels are preferable for microvascular surgery. Two flaps can be used with two cutaneous branches. A flap measuring up to 16 x 4.5 cm can be utilized with primary closure at the donor site. A long bone can be obtained together with skin. Surgery on the neck and harvesting of the flap can be done at the same time. The donor site is not conspicuous.

摘要

4例患者在恶性肿瘤手术后，采用来自小腿的游离腓骨瓣或其复合瓣修复口腔下颌和下咽缺损。所有患者的这些皮瓣均成功移植：2例游离腓骨瓣，2例带皮肤的游离腓骨移植，小腿未出现任何问题。腓骨骨皮瓣具有以下优点：轴型血管便于进行微血管手术。两个皮瓣可与两个皮支一起使用。可使用面积达16×4.5 cm的皮瓣，供区可一期缝合。可同时获取长骨和皮肤。颈部手术和皮瓣切取可同时进行。供区不明显。