股前外侧皮瓣在颊癌术后缺损重建中的应用<br />-《中国美容医学》

文章信息/Info

Title:: Application of Anterolateral Thigh Flap in Reconstruction of Postoperative Defects of
Buccal Cance

Author(s):: WU Wen-ke; HU Ge ; PENG Ke-ping; CHANG Wei; JIANG Man; WANG Ren-wei

Keywords:: Key words:anterolateral thigh fl ap; buccal cancer; prosthetic surgery; postoperative defect

摘要:: [摘要]目的：探讨游离股前外侧皮瓣在颊癌术后缺损修复重建中的应用。方法：对笔者科室2012年6月-2018年12月应用股前
外侧皮瓣修复重建的63例颊癌术后软组织缺损患者的临床资料进行回顾性分析，其中前颊18例，后颊34例，全颊11例，评估
移植的成功率及修复效果。结果：63例患者病理类型均为鳞状细胞癌，切取皮瓣面积为4cm×8cm～8cm×20cm。术后59例股
前外侧皮瓣顺利成活，发生血管危象4例，经紧急手术探查抢救后，存活3例，坏死1例，成活率为98.4%。术后随访10～72个
月，颊部皮瓣形态良好，4例患者出现颊瘘。术后6个月所有患者张口度、言语及咀嚼吞咽功能满意。结论：股前外侧皮瓣组
织量丰富，质地柔软，可塑性强，可根据不同颊缺损范围设计一蒂双岛或一蒂多岛，可取皮瓣面积大，手术可操作性强，术
后供区损伤小，是修复颊癌根治术后缺损的理想皮瓣。

Abstract:: Abstract:Objective To explore the application of free anterolateral femoral fl ap in the reconstruction postoperative defects
of buccal cancer. Methods From June 2012 to December 2018, 63 cases of buccal cancer with soft tissue defect repaired by
anterolateral femoral fl ap were analyzed retrospectively. Among them, 18 cases were anterior buccal, 34 cases were posterior
buccal and 11 cases were total buccal. To evaluate the success rate and repair effect of transplantation. Results The pathological
types of 63 patients were squamous cell carcinoma. The flap area was 4cm×8 cm-8cm×20cm. After operation, 59 cases
of anterolateral thigh flap survived successfully and 4 cases developed vascular crisis. After emergency operation, 3 cases
survived, 1 case necrotic, the survival rate was 98.4%. After 10-72 months follow-up, the buccal fl ap was in good shape, and 4
patients had buccal fi stula. At 6 months after the operation, all the patients had satisfactory mouth opening, speech, chewing and
swallowing functions. Conclusion The anterolateral thigh fl ap has abundant tissue,soft texture,strong plasticity, and the small
injury of donor area.It is an ideal fl ap for repairing the defect after radical operation of buccal cancer.