折叠前臂桡侧游离皮瓣在上颌、腭部缺损修复中的应用

目的：探讨折叠前臂桡侧游离皮瓣修复上颌、腭部组织缺损的特点。方法:应用折叠前臂皮瓣修复4例上颌、腭部恶性肿瘤切除后组织缺损。结果:4例前臂皮瓣修复全部成活，随访3～24个月，皮瓣与腭部黏膜伤口愈合良好，口鼻腔分隔良好，呼吸、语言和吞咽等口腔功能得以基本维护，面部和腭部外形较满意。结论:折叠前臂游离皮瓣是修复上颌、腭部组织缺损较好的材料之一。

Reconstruction of the palatal defect by folding radialis forearm free flap

Objective： To explore the repair method of maxilla and palate defects by folding radialis forearm free flaps. Method: The clinical data of 4 cases of the folding radialis forearm free flaps for instant maxilla and palate reconstruction were retrospectively analyzed. Result: All the forearm free flaps were well healed. The oral cavity was completely parted from the nasal cavity, which helped to maintain adequate phonation and swallowing function. The outline form of the face and palate was satisfactorily restored. Conclusion: The folding radialis forearm free flap is effective and it is the first choice in repairing maxilla and palate defects.