面动脉瓣修复口咽癌术后缺损

目的探讨面动脉瓣修复口咽癌术后缺损的效果及临床应用。 方法选择2008年5月至2014年1月中山大学孙逸仙纪念医院口腔颌面外科收治的口咽癌患者33例，行肿瘤扩大切除术同期采用顺行或逆行面动脉瓣修复组织缺损。 结果33例面动脉瓣中，逆行性皮瓣11例全部成活，而顺行性皮瓣成活18例、部分坏死2例、完全坏死2例。皮瓣成活病例伤口愈合良好，患者术后语音和吞咽功能得到恢复。 结论应用面动脉岛状肌皮瓣修复口咽癌切除术后缺损，制取技术简单，皮瓣血供明确，皮瓣成活率高，瘢痕较为隐蔽，是修复口咽癌切除术后缺损的理想皮瓣。

The application and study of facial artery flap for reconstructions of oropharyngeal defects following tumor ablation

ObjectiveTo explore the effects and clinical application of facial artery flap for repairing the oropharyngeal defects ablation of oropharyngeal cancer. MethodsA retrospective analysis on 33 patients who suffered malignant tumors in the oral pharynx from May 2008 to Jan 2014 was carried out. All patients underwent radical surgery combined with facial artery flap or reverse facial artery flap to reconstruct the defects following cancer ablation. The clinical complication was recorded. ResultsAll reverse facial artery flaps were completely alive. In 18 facial artery flap cases, complete flap necrosis occurred in 2 cases and partial flap necrosis at the distal end was found in other 2 cases. Vocal and swallowing functions were recovered well in all flap-survived cases. ConclusionsThis flap could be carried out in the same operating field after the tumor resection. Because of its stable blood supply, high survival rate and easy operation, it is reliable for repairing the oropharyngeal defects ablation of oropharyngeal cancer immediately.