Lockhart R, Menard P, Chout P, Favre-Dauvergne E, Berard P, Bertrand J C
Service de Stomatologie et Chirurgie Maxillo-Faciale du Pr Bertrand, Groupe hospitalier Pitié-Salpêtrière, Paris, France.
Int J Oral Maxillofac Surg. 1998 Feb;27(1):40-4. doi: 10.1016/s0901-5027(98)80094-5.
We report the use of an island infrahyoid myocutaneous flap, pedicled on the superior thyroid vessels, in a group of 21 patients. This flap allows reconstruction of intraoral defects or defects of the lower portion of the face, as large as 10 x 4 cm. We used it in 15 cases to repair parts of the oral cavity, after tumour resection, in 2 patients with mandibular osteoradionecrosis and in 4 patients with gunshot injuries. Among the 21 flaps, no muscular necrosis was observed; however, 4 total necrosis and 4 partial necrosis (< or = 25% of the skin area) of the skin paddle were recorded. Loss of the skin paddle was primarily attributable to the anatomical variations of the veins draining this flap.
我们报告了一组21例患者使用以甲状腺上血管为蒂的岛状舌骨下肌皮瓣的情况。该皮瓣可用于修复最大达10×4厘米的口腔内缺损或面部下部缺损。我们将其用于15例肿瘤切除术后口腔部分修复、2例下颌骨放射性骨坏死患者以及4例枪伤患者。在这21个皮瓣中，未观察到肌肉坏死；然而，记录到4个皮瓣完全坏死，4个皮瓣部分坏死（皮肤面积≤25%）。皮瓣坏死主要归因于引流该皮瓣的静脉的解剖变异。
