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游离股前外侧穿支血管皮瓣修复上颌骨切除后缺损
引用本文:房居高,黄志刚,廉猛,王琪,马泓智,江玲燕,于振坤,陈晓红,陈学军,周维国,韩德民. 游离股前外侧穿支血管皮瓣修复上颌骨切除后缺损[J]. 中国耳鼻咽喉头颈外科, 2011, 0(1): 3-5
作者姓名:房居高  黄志刚  廉猛  王琪  马泓智  江玲燕  于振坤  陈晓红  陈学军  周维国  韩德民
作者单位:首都医科大学附属北京同仁医院耳鼻咽喉头颈外科耳鼻咽喉头颈科学教育部重点实验室(首都医科大学);首都医科大学;北京市耳鼻咽喉科研究所;
基金项目:国家自然科学基金面上项目(30772407)
摘    要:目的探讨股前外侧穿支血管皮瓣简称股前外侧皮瓣(anterolateral thigh flap,ATF),游离移植修复上颌骨切除后缺损的可行性及修复效果。方法回顾性分析18例上颌骨肿瘤患者的临床资料,上颌骨全切除术16例,上颌骨下部切除术2例。全部患者均用ATF I期修复。结果全部病例均移植成功,成功率100%,外形满意率为94%。恶性肿瘤17例,3年生存率为68.8%。结论 ATF可作为上颌骨切除术后修复材料,较好的恢复功能与外形。

关 键 词:上颌肿瘤  修复外科手术  外科皮瓣

Application of anterolateral thigh flap for reconstruction of the defect after maxillectomy
FANG Jugao,HUANG Zhigang,LIAN Meng,WANG Qi,MA Hongzhi,JIANG Lingyan,YU Zhenkun,CHEN Xiaohong,CHEN Xuejun,ZHOU Weiguo,HAN Demin,Ministry of Education,Beijing,China, Capital Medical University, Beijing Institute of Otolaryngology,China). Application of anterolateral thigh flap for reconstruction of the defect after maxillectomy[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2011, 0(1): 3-5
Authors:FANG Jugao  HUANG Zhigang  LIAN Meng  WANG Qi  MA Hongzhi  JIANG Lingyan  YU Zhenkun  CHEN Xiaohong  CHEN Xuejun  ZHOU Weiguo  HAN Demin  Ministry of Education  Beijing  China   Capital Medical University   Beijing Institute of Otolaryngology  China)
Affiliation:FANG Jugao1,HUANG Zhigang1,LIAN Meng2,WANG Qi1,MA Hongzhi1,JIANG Lingyan2,YU Zhenkun1,CHEN Xiaohong1,CHEN Xuejun1,ZHOU Weiguo1,HAN Demin1,3 (1 Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Key Laboratory of Otolaryngology Head and Neck Surgery(Capital Medical University),Ministry of Education,Beijing,100730,China,2 Capital Medical University,100069,3 Beijing Institute of Otolaryngology,100005,China)
Abstract:OBJECTIVE To investigate the usefulness of anterolateral thigh flap for reconstruction of the defect after maxillectomy. METHODS Eighteen cases with defect after maxillectomy were reconstructed with anterolateral thigh flap in our Department during 6 years. The 16 cases were undertaken total maxillectomy,and 2 cases with partial maxillectomy. RESULTS All flaps were transferred successfully. Ninety four percent of the patients were satis·ed with their appearances. The 3 year survival rate was 68.8%. CONCLUSION Anterolateral thigh flap could be an donor flap for the reconstruction of the defect after maxillectomy.
Keywords:Maxillary Neoplasms  Reconstructive Surgical Procedures  Surgical Flaps  
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