[1] 吴文科,胡 革,朱镇华. 游离股前外侧皮瓣修复全舌体或近全舌切除术后缺损[J].中国美容医学,2021,(4):71-74.
　 WU Wen-ke,HU Ge,ZHU Zhen-hua. Application of Free Anterolateral Thigh Flap in Reconstruction of Defects after TotalMobile Tongue or Subtotal Tongue Resections[J].Medical Aesthetics and Beauty,2021,(4):71-74.
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 游离股前外侧皮瓣修复全舌体或近全舌切除术后缺损
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年4期
页码:
71-74
栏目:
出版日期:
2021-04-10

文章信息/Info

Title:
 Application of Free Anterolateral Thigh Flap in Reconstruction of Defects after Total
Mobile Tongue or Subtotal Tongue Resections
文章编号:
1008-6455（2021）04-0071-04
作者:
 吴文科; 胡 革; 朱镇华
Author(s):
 WU Wen-ke; HU Ge; ZHU Zhen-hua
关键词:
 [关键词]股前外侧皮瓣; 舌癌; 近全舌缺损; 修复外科手术; 术后缺损; 缺损修复
Keywords:
 Key words: anterolateral thigh flap;  tongue neoplasms;  subtotal tongue glossectomy;  repair surgery;  postoperative defect;  defectrepair
分类号:
R739.86
文献标志码:
A
摘要:
[摘要]目的：探讨游离股前外侧皮瓣在全舌体或近全舌体术后缺损修复重建中的应用。方法：收集笔者科室2017年6
月-2020年5月应用股前外侧游离皮瓣修复重建全舌体切除或近全舌切除患者资料，进行回顾性分析，共7例患者，评估
股前外侧皮瓣重建方式、移植成功率、术后功能恢复情况以及术后并发症发生情况。结果：7例皮瓣均成活，皮瓣大小
10cm×7cm～18cm×8cm，术后1例患者颏下伤口未愈合，所有患者均能进食半流质食物或软食，6例患者顺利拔除气管套管，
语音恢复基本满意。结论：股前外侧皮瓣“自然成形”重建全舌体缺损或近全舌缺损的方法，简单、容易掌握，术后功能恢
复满意，并发症少，供区损伤小，是一种不错的修复方法。

Abstract:
Abstract: Objective To explore the application of free anterolateral thigh flap in the reconstruction of defect after total or
subtotal tongue operation. Methods From June 2017 to May 2020, we collected the data of patients who underwent total
mobile tongue resection or subtotal tongue resection by using anterolateral free thigh flap in our department, and analyzed
retrospectively. There were 7 patients. We evaluated the reconstruction method of anterolateral thigh flap, the success rate of
transplantation, the recovery of postoperative function and the occurrence of postoperative complications. Results All the flaps
survived, the flap size was 10cm×7cm～18cm×8cm. One patient’s submental wound was not healed after the operation. All
the patients were able to eat semi liquid food or soft food. Six patients successfully removed the tracheal tube, and the voice
recovery was basically satisfactory. Conclusion The method of “natural shaping” of anterolateral thigh flap to reconstruct
the defect of the total mobile tongue or the subtotal tongue is simple and easy to master. It is a good method with satisfactory
functional recovery, less complications and less damage to the donor area.

相似文献/References:

[1]明华伟,何 芸,张兴安,等. CTA辅助游离股前外侧肌皮瓣修复舌癌术后缺损的应用研究[J].中国美容医学,2019,(02):23.
　MING Hua-wei,HE Yun,ZHANG Xing-an,et al. Application of Computed Tomography Angiography Assisting Anterolateral ThighMyocutaneous Flap in the Reconstruction of Postoperative Defects After Resectionof Tongue Carcinoma[J].Medical Aesthetics and Beauty,2019,(4):23.
[2] 吴文科,胡 革,彭坷平,等. 股前外侧皮瓣在颊癌术后缺损重建中的应用[J].中国美容医学,2020,(11):86.
　 WU Wen-ke,HU Ge,PENG Ke-ping,et al. Application of Anterolateral Thigh Flap in Reconstruction of Postoperative Defects ofBuccal Cance[J].Medical Aesthetics and Beauty,2020,(4):86.
[3]吴文科,胡 革,熊 晔,等.基于皮瓣厚度精确重建次全舌缺损的效果评价[J].中国美容医学,2023,(2):35.
　WU Wenke,HU Ge,XIONG Ye,et al.Evaluation of Accurate Reconstruction of Subtotal Tongue Defect Based on Flap Thickness[J].Medical Aesthetics and Beauty,2023,(4):35.

更新日期/Last Update: 2021-05-11