摘要
目的:探讨折叠游离前臂皮瓣在颊癌术后软组织洞穿性缺损修复中的治疗效果。方法:对17例颊癌患者行颊颌颈联合根治术并同期使用折叠游离前臂皮瓣修复颊部软组织洞穿性缺损。术前Allen实验及超声多普勒血流测量仪检查或CT血管造影确定前臂血管状况良好。结果:17例患者前臂皮瓣制备和折叠游离前臂皮瓣移植修复颊部洞穿性缺损均成功。随访6~36个月,患者颊部内外侧形态恢复良好,开口度正常,语言、吞咽功能恢复好,无流涎、咬颊症状,供区手部无明显并发症,局部无癌症复发,1例患者(T3N1M0)术后1年因癌症转移至肺而死亡。结论:折叠游离前臂皮瓣重建颊部洞穿性缺损成功率高,形态功能恢复好,是一种修复颊癌术后软组织洞穿性缺损的可靠方法。
Objective：To investigate the therapeutic effect of folded free radial forearm flaps（RFF）for reconstruction of full-tickness cheek defects after the resection of buccal carcinoma.Method：Seventeen cases of buccal carcinoma received radical neck dissection with cheekectomy and mandibulectomy,and the folded RFF to reconstruct full-tickness cheek defects simultaneously.Preoperative Allen test,ultrasonic doppler blood flow meter examination or computed tomography angiography confirmed good vascular condition of the forearm.Result：RFF were obtained from all patients,and completely survived.During the follow-up period of 6-36 months,the lateral morphology of the cheek was restored well and the mouth opening is normal.Language and swallowing function recovered well,without salivation or cheek biting.There were no obvious complications in the donor site.One case（T3 N1 M0）died of pulmonary metastatic carcinoma a year later.Conclusion：The success rate is high and the morphology and function recovered well of the folded RFF for reconstruction of full-tickness cheek defects,so it is a reliable method to reconstruct full-tickness cheek defects after the resection of buccal carcinoma.
作者
马治超
孙黎波
周航宇
吴双江
王雷
肖金刚
MA Zhichao;SUN Libo;ZHOU Hangyu;WU Shuangjiang;WANG Lei;XIAO Jingang(Department of Oral and Maxillofacial Surgery, the Affiliated Stomatology Hospital of South- west Medical University, Luzhou, 646000, China;Orofacial Reconstruction and Regeneration Laboratory, the Affiliated Stomatology Hospital of Southwest Medical University;Department of Oral and Maxillofacial Surgery, the Affiliated Hospital of Southwest Medical University)
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2018年第13期1002-1005,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
中华口腔医学会西部行临床科研基金资助项目(No:CSA-W2017-08)
国家自然科学基金资助项目(No:81371125)
关键词
颊癌
颊洞穿性缺损
折叠前臂皮瓣
修复重建
buccal carcinoma
full-tickness cheek defects
folded free radial forearm flaps
reconstruction
