上臂外侧皮瓣在口腔癌术后缺损修复中的初步应用

目的 探讨上臂外侧皮瓣（LAFF）在口腔软组织缺损修复重建中的应用价值。方法用上臂外侧皮瓣即刻修复口腔鳞癌根治术后的继发缺损10例。结果 除1例皮瓣坏死外，其余9例组织瓣全部成活，口腔组织形态和功能恢复满意。7例患者供区有麻木感，无其他并发症。结论 与前臂桡侧皮瓣相比，由于LAFF优点诸多，在口腔中小型软组织缺损的修复中，LAFF是一种可选择的优秀皮瓣。

Application of the free vascularized lateral upper arm flap in intraoral reconstruction following ablative tumour surgery

Objective To evaluate the application of the lateral arm free flap(LAFF)in the reconstruction for intraoral defects.Methods Intraoral reconstruction was performed using the LAFF for 10 patients with oral squamous cell carcinoma of the tongue(n=3),cheek(n=4),gingiva(n=1)and oropharynx(n=2).There were 8 men and 2 women(mean age,52 years).Results Nine LAFF healed uneventfully.One flap was lost on the second postoperative day due to venous insufficiency.The donor defect was closed primarily In all patients.There were no significant complications at the donor site.Conclusions Because of the thin and pliable nature,the lateral upper arm flap can be recommended as a choice for repair of moderate-sized defects of the oral maxillofacial area.