应用前臂游离皮瓣折叠法修复大型腭部洞穿性缺损

目的 探讨大型腭部洞穿性缺损修复的方法.方法 2003年至2006年,我们应用前臂游离皮瓣折叠法为7例患者进行了腭部洞穿性缺损修复,共使用皮瓣8块,其中前臂游离皮瓣7块,胸大肌岛状瓣1块.结果 除1例前臂游离皮瓣因动脉栓塞失败外,其余组织瓣完全成活,再造腭部形态良好.患者可经口腔正常进食,并进行基本正常的语言交流.结论 利用前臂游离皮瓣折叠法进行大型腭部洞穿性缺损的修复,是一种有效可行的方法.

Reconstruction of large through-and-through palate defects with folded free forearm flap

Objective To explore the reconstruction method of large through-and-through palate defects.Methods From 2003 to 2006,7 cases of large through-and-through palate defects were reconstructed with vascularized folded free forearm flap.8 flaps were used,including 7 free forearm flaps and 1 pectoralis major myocutaneous flap.Results All the tissue flaps survived well except one flap necrosis because of arterial thrombosis.The appearance of reconstructed palate was acceptable,and the functions of swallowing and speech were normal or almost normal.Conclusions It is feasible and effective to repair large through-and-through palate defects with folded free forearm flap.