Kuzon W M, Jejurikar S, Wilkins E G, Swartz W M
Department of Surgery, University of Michigan, Ann Arbor, USA.
Microsurgery. 1998;18(6):372-8. doi: 10.1002/(sici)1098-2752(1998)18:6<372::aid-micr6>3.0.co;2-f.
Two patients with massive, composite defects of the total lower lip, chin, and anterior mandible underwent double free-flap reconstruction. A fibular osteoseptocutaneous flap was used to reconstruct the mandible and floor of the mouth and a radial forearm fasciocutaneous composite flap, including the palmaris longus tendon, was used for total lower lip and chin reconstruction. Postoperatively, both patients had acceptable cosmesis, were orally competent, and recovered adequate mandibular function. Double free-flap reconstruction is indicated only in those circumstances in which composite tissue requirements or massive tissue defects preclude reconstruction with a single free-tissue transfer.
两名患有全下唇、颏部及下颌前部大面积复合缺损的患者接受了双游离皮瓣重建术。采用腓骨骨皮瓣重建下颌骨及口底，采用包含掌长肌腱的桡侧前臂筋膜皮复合瓣重建全下唇及颏部。术后，两名患者的美容效果均可接受，口腔功能良好，下颌功能恢复充分。双游离皮瓣重建仅适用于复合组织需求或大面积组织缺损无法通过单次游离组织移植进行重建的情况。
