【作者】 杨辉俊； 杨宏宇； 陈钢； 黄晓斌； 李树春； 黄敬东； 沈时岳；

【Author】 Yang Hui-jun, Yang Hong-yu, Chen Gang, Huang Xiao-bin, Li Shu-chun, Huang Jin-dong, Shen Shi-yue Department of Oral and Maxillofacial Surgery,Shenzhen Hospital, Peking University

【机构】 北京大学深圳医院口腔颌面外科；

【摘要】 <正>目的:分析游离组织瓣修复口腔颌面部肿瘤术后缺损的临床效果及可能发生的问题。方法:应用前臂皮瓣、腓骨肌皮瓣修复口腔颌面部肿瘤术后组织缺损12例,分析血管吻合方式和技术、皮瓣成活情况、患者外形、功能恢复情况,并分析影响皮瓣成活的各种因素。结果:游离组织瓣成活率为83．3％,术后血栓的发生率为33．3％,抢救成功率为50％;受区和供区总的并发症发生率为25％。绝大多数组织瓣成活更多还原

【Abstract】 Objective: To analyze the clinical outcomes of free flap for repairing the oral and maxillofacial defects following tumour resection. Methods: Twelve patients underwent vascularized forearm flaps or fibular free flaps reconstruction following the tumor resection from Dec. 2001 to Nov. 2006 were reviewed. Data concerning the operation included date of surgery recipient,defect description and site, stage and histology of tumor, the outline form and function vessel and type of anastomosis used and complications. Results: Ten of twelve free flaps survived and two was lost .The overall success rate was 83.3%. The overall complication rate was 25%. The vessel thrombosis rate was 33.3%. By flap salvage two flaps survived, the other experienced total failure. The flap salvage rate was 50%. Conclusion: Forearm flap and fibular free flaps transfer in oral and maxillofacial region is safe and reliable. It is superior to the conventional pedicled flap technique.更多还原