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A preliminary study of head and neck reconstruction using free anterolateral thigh flap
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF STOMATOLOGY
- Issue:
- 1
- DOI:
- 10.3760/j.issn:1002-0098.2007.01.004
- Key Word:
- 外科;整形;外科皮瓣;头颈部肿瘤
Abstract： 目的 探讨游离大腿前外侧皮瓣在头颈部缺损修复中的应用.方法 回顾研究2002年1月至2006年1月完成的22例游离大腿前外侧皮瓣移植.分析采用组织瓣的设计、穿支血管的数目和类型、受区血管、血管吻合方式和技术、游离瓣成活情况及术后并发症,并分析有可能影响组织瓣成活的各种因素.结果 22例中,皮瓣面积(7 cm×5 cm)～(16 cm×8 cm),平均11.1 cm×6.9 cm,除4块皮瓣携带2个穿支外,其余18块皮瓣均携带1个穿支.26个穿支中,20个为肌皮穿支,另外6个为隔皮穿支.1例游离瓣术后48 h 出现静脉危象,经抢救未成功后去除皮瓣.其余皮瓣术中、术后均未出现血管危象,并且全部成活.所有供区均直接拉拢缝合,除1例供区术后创口感染致二期愈合外,其余供区均一期愈合.结论 游离大腿前外侧皮瓣克服了传统的前臂皮瓣和腹直肌皮瓣的缺点,在头颈部缺损的修复中具有较大的灵活性,值得进一步应用和观察.
- [1]张彬,李德志,徐震纲,等.游离股前外侧皮瓣修复头颈肿瘤术后缺损[J].2006,(6).
- [2]Isao Koshima,Hiroshi Fukuda,Hidekazu Yamamoto,etc.Free Anterolateral Thigh Flaps for Reconstruction of Head and Neck Defects[J].1993,92(3).
- [3]Y, Kimata,K, Uchiyama,S, Ebihara,etc.Versatility of the free anterolateral thigh flap for reconstruction of head and neck defects.[J].1997,123(12).
- [4]G, Cormack.Anterolateral thigh flap: technical tip to facilitate elevation.[J].1992,45(1).
- [5]Y G, Song,G Z, Chen,Y L, Song.The free thigh flap: a new free flap concept based on the septocutaneous artery.[J].1984,37(2).
- [6]Gang Zhou,Qun Qiao,Guang Yu Chen,etc.Clinical experience and surgical anatomy of 32 free anterolateral thigh flap transplantations[J].1991,44(2).
- [7]I, Koshima,H, Fukuda,R, Utunomiya,etc.The anterolateral thigh flap; variations in its vascular pedicle.[J].1989,42(3).
- [8]Shyh-Jou Shieh,Haw-Yen Chiu,Jui-Chin Yu,etc.Free Anterolateral Thigh Flap for Reconstruction of Head and Neck Defects following Cancer Ablation[J].2000,105(7).
- [9]Masakazu Ao,Manabu Maeta,Fumio Nakagawa,etc.Combined anterior thigh flaps and vascularised fibular graft for reconstruction of massive composite oromandibular defects[J].1998,51(5).
- [10]D C, Xu,S Z, Zhong,J M, Kong,etc.Applied anatomy of the anterolateral femoral flap.[J].1988,82(2).