血管化前臂游离皮瓣修复颌面头颈部缺损

目的总结应用血管化游离前臂皮瓣修复颌面头颈部缺损的经验。方法对22例应用血管化游离前臂皮瓣修复颌面头颈部各类缺损的病例进行临床分析。结果血管化游离前臂皮瓣具有许多符合颌面头颈部修复要求的优点,有多种用途和应用方法,修复效果满意,本组22例修复成功率95.5%。缺点是牺牲前臂的一条主供血管——桡动脉,供区遗有瘢痕,影响外观。结论血管化游离前臂皮瓣是一个多能优良皮瓣,适合于颌面头颈部各个解剖区域软组织缺损的修复,是修复颌面头颈部软组织缺损的首选皮瓣。

Repairing of maxillofacial and headneck defects with forearm free flap

Objective To summarize the experience in the repair of maxillofacial and head-neck defects by forearm free flap.Methods The clinical records of 22 cases of forearm free flap for the maxillofacial and head-neck reconstruction were summed up and analyzed.Results With the overall success rate of 95.5%,the forearm free flap is satisfied with repairing of defects in maxillofacial and head-neck area after operation by variational application.It has the advantage that meets the requirements for repairing defects of maxillofacial and head-neck area.Its disadvantage is that the handsome shape of provide area was destroyed because the radial artery was victim.Conclusion The forearm free flap is a multifunctional flap with good texture suitable to be used to repair soft tissue defects in various maxillofacial and head-neck regions,and with good long-term effect.It is the preferred flap for repairing maxillofacial and head-neck regions.