Klein C, Kovács A, Stuckensen T
Department of Maxillofacial Plastic Surgery, Medical School, Johann Wolfgang Goethe University, Frankfurt am Main, Germany.
Br J Plast Surg. 1997 Apr;50(3):166-71. doi: 10.1016/s0007-1226(97)91364-3.
In 29 patients, the intraoral defect after excision of an oral squamous cell carcinoma was repaired with an arterialised venous forearm flap. In all cases, a flap of skin and fat with a superficial vein passing through it was raised from the flexor surface of the right forearm. After the flap had been sutured into the intraoral defect, the original distal end of the vein was anastomosed to an artery and the original proximal end to a vein. Fifteen (52%) of the flaps survived completely, six (21%) had superficial epithelial loss or some marginal necrosis and eight (27%) became completely necrotic. Areas of partial loss developed slowly and formed stable granulation tissue. The flap donor sites were either closed primarily (n = 20) or were covered with a split thickness skin graft (n = 9). There were no functional problems of the donor forearms. These results contrast with the high success rates achieved with orthodox free radial forearm flaps. Further research into venous flaps is essential.
在29例患者中，采用动脉化静脉前臂皮瓣修复口腔鳞状细胞癌切除术后的口腔内缺损。所有病例均从右前臂屈侧掀起一块带有一条浅静脉穿过的皮肤和脂肪皮瓣。将皮瓣缝合到口腔内缺损处后，将静脉的原远端与一条动脉吻合，原近端与一条静脉吻合。15块（52%）皮瓣完全存活，6块（21%）出现表面上皮缺损或一些边缘坏死，8块（27%）完全坏死。部分缺损区域发展缓慢并形成稳定的肉芽组织。皮瓣供区要么直接缝合（n = 20），要么用中厚皮片覆盖（n = 9）。供区前臂没有功能问题。这些结果与传统游离桡动脉前臂皮瓣所取得的高成功率形成对比。对静脉皮瓣进行进一步研究至关重要。
