Piantanida R, Ferrario F, Roselli R, Spriano G
Divisione di Otorinolaringoiatria, Ospedale di Circolo e Fondazione, Macchi, Varese.
Acta Otorhinolaryngol Ital. 1997 Apr;17(2):115-23.
A relatively recent method for reconstruction of the oral cavity after tumor removal employs the use of revascularized free flaps. In particular, the Radial Forearm Flap has gained significant international recognition. After a review of the history of this procedure, the authors describe the essential aspects of the technique including what is involved in removal as well as in microanastomosis and reconstruction. In addition, the paper also deals with operative patient monitoring, prevention and treatment of any complications. Finally, a series of 10 cases is presented all of which underwent surgery at the E.N.T. Division of the Varese Hospital. The case study presents the oncological and functional results and emphasizes the technical details of the entire sampling. The purpose of this work has been to demonstrate that this procedure can be used by an E.N.T. surgical staff without requiring input from an outside team of specialists. Although this technique is difficult and somewhat limited, it must be considered one of the most innovative proposals in the field of plastic, reconstructive surgery of the head and neck.
一种相对较新的肿瘤切除后口腔重建方法是使用带血管蒂的游离皮瓣。特别是，桡侧前臂皮瓣已获得国际上的广泛认可。在回顾了该手术的历史后，作者描述了该技术的基本要点，包括切除、显微吻合和重建所涉及的内容。此外，本文还涉及手术患者的监测以及任何并发症的预防和治疗。最后，展示了10例病例，所有病例均在瓦雷泽医院耳鼻喉科接受手术。该病例研究展示了肿瘤学和功能结果，并强调了整个取样的技术细节。这项工作的目的是证明，耳鼻喉科手术人员可以使用该手术方法，而无需外部专家团队的参与。尽管这项技术难度较大且有一定局限性，但它必须被视为头颈整形重建外科领域最具创新性的提议之一。
