摘要
目的:评价股前外侧皮瓣在口底癌术后缺损修复中的应用价值。方法:2005年3月至2007年6月,应用吻合血管的股前外侧皮瓣一期修复口底癌术后缺损10例。皮瓣大小为12cm×5cm至6cm×4cm。结果:10例皮瓣全部成活,外观满意。口腔功能基本恢复。随访2月到26个月,10例患者均健在。其中1例于术后6个月局部复发,再次行局部扩大切除及股前外侧皮瓣修复。结论:吻合血管的股前外侧皮瓣血管蒂长,血管口径大,供瓣区隐蔽。是一种适合口底缺损修复的游离皮瓣。
Objective： To evaluate the value in reconstruction of postoperative mouth defect using anterolateral thigh flap. Methods： From March 2005 to June 2007 ,the anterolateral thigh flap in 10 patients were transferred for reconstruction of postoperative mouth defect following cancer ablation,the size of flap ranged from 12cm × 5cm to 6cm × 4cm. Results： All flaps were survival ,all patients regained normal appearance and near -normal oral function, the follow-up ranged 2 to 27 months,all l0 patients were disease -free survival,1 patient had regained one more block resection of local recurrence and reconstruction of new mouth floor defect using the same flap 6 months late. Conclusion： The anterolateral thigh flap have lone vascular pediele and large blood caliber and is suitable for reconstruction of mouth floor defect.
出处
《现代肿瘤医学》
CAS
2008年第6期942-944,共3页
Journal of Modern Oncology
关键词
口底
游离皮瓣
肿瘤
缺损
mouth floor
free flap
neoplasm
defect
