首页|上臂外侧皮瓣在口腔颌面缺损修复中的应用

上臂外侧皮瓣在口腔颌面缺损修复中的应用

Application of lateral arm flap in the repair of oral and maxillofacial defects

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目的:探讨游离上臂外侧皮瓣(LAFF)在口腔颌面部恶性肿瘤根治术后软组织缺损修复重建中的应用价值。方法:自2012-01~2012-12,应用LAFF修复口腔颌面部肿瘤术后缺损的患者22例,观察记录皮瓣大小、制取时间、血管直径、吻合时间、组织瓣成活情况、手术修复成功率及术后效果,评价其优缺点。结果:皮瓣面积最大14 cm ×8 cm,最小6 cm ×4 cm。术后22例皮瓣均成活,未发生血管危象;并发症少,修复效果满意。结论:LAFF解剖位置恒定,制取简单,能满足常见口腔颌面部肿瘤术后软组织缺损修复。
Objective:To investigate the value of the lateral arm free flap (LAFF)in the repair of oral and maxillofacial defects af-ter resection of malignant tumor.Methods:22 cases received LAFF from January 2012 to December 2012 were studied.The flap size,preparation time,vessel diameter,anastomosis time,survival situation,success rate and postoperative results were observed. Results:The flap ranged from 14 cm ×8 cm to 6 cm ×4 cm.All flaps survived well without vascular crisis.Repair results were satis-factory.Conclusion:LAFF,with constant anatomy and simple preparation,can be applied in the repair of oral and maxillofacial de-fects after tumor resection.

Lateral arm free flap(LAFF)Oral and maxillofacial carcinomaMicrosurgeryForearm flapAnterolateral thigh flap

李浩、郑维银、羊书勇、李焰、吴坡、鄢兰元

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610021,成都军区总医院附属口腔医院

上臂外侧皮瓣 口腔颌面部恶性肿瘤 显微外科 前臂皮瓣 股前外侧皮瓣

2014

实用口腔医学杂志
第四军医大学口腔医学院

实用口腔医学杂志

CSTPCDCSCD北大核心
影响因子:0.942
ISSN:1001-3733
年,卷(期):2014.(5)
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