期刊文献+

应用游离股前外侧皮瓣修复头颈部软组织缺损 被引量:7

Application of anterolateral thigh free flap to reconstruct head and neck soft tissue defects
下载PDF
导出
摘要 背景与目的:股前外侧皮瓣(ALT)对供区创伤小,有独特优点,但目前临床应用还不常见。本文探讨应用ALT皮瓣修复头颈部软组织缺损的临床价值。方法:回顾2004年11月至2008年5月期间于中山大学肿瘤防治中心20例应用ALT皮瓣修复重建头颈部软组织缺损的病例资料。总结皮瓣切取的技术细节。报告术中解剖和成功率。结果:20例游离股前外侧皮瓣修复头颈部软组织缺损均获成功。ALT皮瓣血管蒂长介于5~14cm,平均9.9cm。切取的面积介于(4~9cm)×(6~16cm)。皮肤穿支的解剖类型分为肌间隔穿支4例(占20%),肌皮穿支16例(占80%)。股前外侧皮瓣用于修复的头颈部缺损包括口腔内黏膜缺损14例(其中修复舌体及口底9例、口颊黏膜3例、硬腭1例、以及磨牙后区黏膜1例),面部及颈部皮肤缺损6例。皮瓣供区除1例以外均可一期缝合。结论:股前外侧皮瓣是头颈部各种软组织缺损修复重建中一个很有价值和应用潜力的供区,具有成功率高,对供区影响小的特点。 Background and Objective. Although anterolateral thigh (ALT) flap has the advantage of limited damage to the donor site, its clinical application is not common. This study was to study the clinical value of ALT flap in the reconstruction of head and neck soft tissue defects. Methods: Twenty patients receiving reconstruction of head and neck soft tissue defects using ALT flap at Sun Yat-sen University Cancer Center between November 2004 and May 2008 were retrospectively reviewed. Surgical procedures in the harvest of ALT flap were described. The surgical anatomy and successful rate were reported. Results. Twenty patients were all alive. The vessel pedicle length of ALT flap ranged from 5 cm to 14 cm, with an average of 9.9 cm. The harvested ALT flap was (4-9) cm × (6-16) cm. The skin perforator was classified into four cases of intermuscular septal branch (20%) and 16 cases of musculocutaneous branch (80%). The head and neck soft tissue defects included 14 cases (nine cases of tongue and oral floor, three cases of buccal mucosas, one case of hard palate, and one case of retromolar trigone mucosa) intraoral mucosa and six cases of facial-cervical skin defects. Except for one case, the donor sites were primarily sutured. Conclusion. ALT flap is one of valuable and potential donor site for the reconstruction of head and neck soft tissue defects. It could achieve a high successful rate and causes little influence to the donor sites.
出处 《癌症》 SCIE CAS CSCD 北大核心 2009年第10期1088-1092,共5页 Chinese Journal of Cancer
关键词 外科皮瓣 修复外科手术 股前外侧皮瓣 头颈部肿瘤 surgical flaps, reconstructive surgical procedures, anterolateralthigh flap, head and neck neoplasms
  • 相关文献

参考文献16

  • 1张世民,徐达传,顾玉东.穿支皮瓣[J].中国临床解剖学杂志,2004,22(1):32-33. 被引量:135
  • 2张彬.穿支皮瓣在头颈部的应用[J].中华耳鼻咽喉头颈外科杂志,2006,41(11):878-880. 被引量:11
  • 3Wei FC, Jain V, Celik N, et al. Have we found an ideal softtissue flap? An experience with 672 anterolateral thigh flaps [J]. Plast Reconstr Surg, 2002, 109(7) :2219-2226.
  • 4Koshima I, Hosoda M, Moriguchi T, et al. A combined anterolateral thigh flap, anteromedial thigh flap, and vaseularized iliae bone graft for a full-thickness defect of the mental region [J]. Ann Plast Surg, 1993,31(2):175-180.
  • 5Ozkan O, Mardini S, Chen HC, et al. Repair of buccal defects with anterolateral thigh flaps [J ]. Microsurgery, 2006,26 (3) : 182-189.
  • 6Amin A, Rifaat M, Civantos F, et al. Free anterolateral thigh flap for reconstruction of major craniofacial defects [J]. J Reconstr Microsurg, 2006,22(2) :97-104.
  • 7Yu P, Robb GL. Pharyngoesophageal reconstruction with the anterolateral thigh flap: a clinical and functional outcomes study [J]. Plast Reconstr Surg,2005, 116(7): 1845-1855.
  • 8Shieh SJ, Chiu HY, Yu JC, et al. Free anterolateral thigh flap for reconstruction of head and neck defects following cancer ablation [ J ]. Plast Reconstr Surg, 2000,105 (7) : 2349-2357.
  • 9陈守正,程开祥.应用股前外侧岛状皮瓣一次完成阴茎再造[J].中华显微外科杂志,1989,12(3):141-143. 被引量:40
  • 10黄文孝,陈杰,喻建军,李赞,包荣华,戴捷,周晓.21例舌癌游离股前外侧皮瓣舌再造术临床体会[J].中国肿瘤,2006,15(11):779-781. 被引量:12

二级参考文献55

共引文献242

同被引文献65

引证文献7

二级引证文献36

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部