【摘要】 目的探讨锁骨上动脉岛状瓣在颌面部肿瘤术后缺损的临床应用。方法回顾性研究2015年9月至2016年12月汕头大学医学院第二附属医院口腔科应用锁骨上动脉岛状瓣修复颌面部肿瘤术后缺损15例患者的临床资料,其中舌癌8例、口咽癌2例、颊癌4例、口底癌1例。UICC临床分期:T₂N₀M₀2例、T₃N₀M₀7例、T₃N₁M₀4例、T₄N₁M₀1例、T₄N₂M₀1例。皮瓣大小4 cm×5 cm⁷.5 cm×10 cm。结果 1例皮瓣完全坏死,2例皮瓣边缘部分坏死,其余13例全部存活,修复重建效果良好。结论锁骨上动脉岛状瓣可靠、稳定,是颌面部肿瘤术后缺损修复重建的理想选择。更多还原

【Abstract】 Objective To investigate the clinical application of the supraclavicular artery island flap（SCAIF） in the reconstruction of the defects following cancer ablation in maxillofacial region.Methods A retrospective study on the clinical data of 15 patients who underwent reconstruction of the maxillofacial region defect with SCAIF in the department of oral and maxillofacial surgery,the Second Affiliated Hospital of Medical College of Shantou University,from September 2015 to December 2016,including 8 cases of tongue carcinoma,2 cases of oropharyngeal cancer,4 cases of squamous cell carcinoma and 1 cases of carcinoma of the floor of mouth. UICC clinical stage:T₂N₀M₀2 cases,T₃N₀M₀7cases,T₃N₁M₀4cases,T₄N₁M₀1cases,T₄N₂M₀1 cases. The sizes of the skin paddle ranged from 4 cm × 5 cm to 7.5 cm × 10 cm. Results The SCAIF survived in fourteen cases（93.3%,14/15）,including two cases with minimal partial necrosis. 1 case of SCAIF was necrosis. Conclusion The supraclavicular artery island flap is an ideal choice for the reconstruction of the defect after cancer ablation.更多还原