[1]刘 喆,刘 敏,葛苏蒙,等.游离前臂皮瓣与股前外侧皮瓣修复口腔癌术后缺损的疗效及对伤口美观度的影响[J].中国美容医学,2023,(12):74-77.[doi:10.15909/j.cnki.cn61-1347/r.006033]
　LIU Zhe,LIU Min,GE Sumeng,et al.Effect of Free Forearm Flap and Anterolateral Thigh Flap on Defect Repair after Oral Cancer Surgery and Its Infl uence on Wound Aesthetics[J].Medical Aesthetics and Beauty,2023,(12):74-77.[doi:10.15909/j.cnki.cn61-1347/r.006033]
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游离前臂皮瓣与股前外侧皮瓣修复口腔癌术后缺损的疗效及对伤口美观度的影响()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年12期
页码:
74-77
栏目:
出版日期:
2023-12-10

文章信息/Info

Title:
Effect of Free Forearm Flap and Anterolateral Thigh Flap on Defect Repair after Oral Cancer Surgery and Its Infl uence on Wound Aesthetics
文章编号:
1008-6455（2023）12-0074-04
作者:
刘 喆; 刘 敏; 葛苏蒙; 孙国文
(南京大学医学院附属口腔医院 南京市口腔医院口腔颌面外科 江苏 南京 210008 )
Author(s):
LIU Zhe; LIU Min; GE Sumeng; SUN Guowen
(Department of Oral and Maxillofacial Surgery,Nanjing Stomatological Hospital,Affi liated Hospital of Medical School,Nanjing University,Nanjing 210008,Jiangsu,China)
关键词:
口腔癌; 缺损修复; 前臂皮瓣; 股前外侧皮瓣; 口腔功能; 颌面部; 美观度
Keywords:
oral cancer;  defect repair;  forearm fl ap;  anterolateral femoral fl ap;  oral function;  appearance
分类号:
R739.81
DOI:
10.15909/j.cnki.cn61-1347/r.006033
文献标志码:
A
摘要:
目的：分析游离前臂皮瓣（Radial forearm free flap,RFFF）与股前外侧皮瓣（Anterolateral thigh flap,ALTF） 在口腔癌术后缺损修复中的效果及对伤口美观度的影响。方法：收集2019年1月-2021年12月笔者医院收治的86例行口腔癌术 后缺损修复术患者的临床资料，其中42例应用RFFF修复（RFFF组），44例应用ALTF修复（ALTF组）。记录两组皮瓣成功率、 手术相关指标、术后张口度、语音清晰度及术后并发症情况，并在术后1年，使用华盛顿大学生存质量评估问卷进行问卷调 查，问卷内容包括口腔功能（吞咽、咀嚼、讲话、味觉、唾液），伤口美观度（外表）等12个项目，评估两组术后1年生存 质量。结果：两组皮瓣成功率分别为97.62%、97.73%，差异无统计学意义（P＞0.05）。两组皮瓣制作时间、皮瓣面积、手 术时间及术后住院时间比较，差异无统计学意义（P＞0.05）。两组术后受区并发症比较，差异无统计学意义（P＞0.05）； RFFF 组供区并发症总发生率高于ALTF组（P＜0.05）。RFFF组术后3个月张口度及语音清晰度、术后1年外表UW-QOL评分、UWQOL总分均高于ALTF组（均P＜0.05），两组术后1年口腔功能等其他UW-QOL项目评分比较，差异无统计学意义（P＞0.05）。 结论：RFFF及ALTF均为口腔癌术后缺损修复的理想皮瓣，成功率较高，RFFF皮瓣在术后早期口腔功能恢复及颌面部美观度方 面更具优势，ALTF皮瓣供区并发症少，在安全性方面更具优势。
Abstract:
Objective To analyze the eff ect of radial forearm free fl ap (RFFF) and anterolateral thigh fl ap (ALTF) on defect repair after oral cancer surgery and the infl uence on wound aesthetics. Methods The clinical data of 86 patients undergoing defect repair after oral cancer surgery were collected between January 2019 and December 2021, including 42 patients receiving RFFF repair (RFFF group) and 44 patients receiving ALTF repair (ALTF group). The success status of skin fl ap, surgical-related indicators, postoperative mouth opening and speech clarity and postoperative complications were recorded in both groups. At 1 year after surgery, questionnaire survey was conducted using University of Washington Quality of Life Questionnaire (UW QOL), including 12 items such as oral function (swallowing, chewing, speech, taste, saliva) and wound aesthetics (appearance). The quality of life was evaluated in both groups at 1 year after surgery. Results The success rates of skin fl ap in the two groups were 97.62% and 97.73% (P ＞0.05). There were no statistically signifi cant diff erences in the skin fl ap preparation time, fl ap area, surgical time and postoperative hospital stay between the two groups (P ＞0.05). There were no statistical diff erences in postoperative complications in the recipient area between the two groups (P ＞0.05). The total incidence rate of complications in the donor area in RFFF group was higher than that in ALTF group (P＜0.05). Mouth opening and speech clarity at 3 months after surgery and appearance score and total score of UW-QOL at 1 year after surgery were higher in RFFF group than those in ALTF group (all P＜0.05), but there were no statistical diff erences in scores of items such as oral function of UW-QOL at 1 year after surgery between the two groups (P ＞0.05). Conclusion Both RFFF and ALTF are ideal fl aps for defect repair after oral cancer surgery, with a high success rate. RFFF fl ap has more advantages in early postoperative oral function recovery and maxillofacial aesthetics, and ALTF fl ap has fewer complications in the donor area and has more advantages in safety.

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更新日期/Last Update: 2023-12-26