应用游离皮瓣修复头颈部大面积软组织缺损

目的 总结应用游离皮瓣修复头面颈部巨大软组织缺损的临床经验.方法 对头面颈部巨大软组织缺损应用游离皮瓣修复23例,其中股前外侧皮瓣15例,腹壁下动脉穿支皮瓣5例,上臂外侧皮瓣3例,皮瓣切取面积范围分别为6 cm×10 cm～15 cm×22 cm、4 cm×9 cm～8 cm×16 cm和4 cm×6 cm～5 cm×9 cm.结果 术后皮瓣全部成活,1例发生动脉危象,经手术取出血栓重新吻合血管后皮瓣成活,1例发生远端表皮水疱,1例发生边缘少部分脂肪液化,均经换药治疗后愈合,术后随访3个月～10年,皮瓣外观良好.结论 应用游离皮瓣修复头颈部巨大软组织缺损临床效果良好.

Free flap transplantation in the reconstruction of large area defects in head and neck

Objective To review clinical experience of free flap transferring in the reconstruction of head and neck defects. Methods Fifteen free anterolateral thigh flaps, 5 free deep inferior epigastric flaps and 3 free lateral arm flaps were used to reconstruct large area head and neck defects. Results All 23 free flaps were alive with good appearance. 1 case survived by performing embolectomy after suffering arterial crisis and delayed recovery of wound took place in 2 cases. Conclusion Free flap transplantation is an ideal choice for reconstructing large area cranio-facio-cervical defects.