股前外侧皮瓣修复口腔恶性肿瘤切除术后缺损的临床疗效分析

目的 探讨股前外侧皮瓣(anterolateral thigh flap,ALTF)修复口腔恶性肿瘤切除术后软组织缺损的临床疗效.方法 收集四川省医学科学院·四川省人民医院2017年6月至2019年2月收治的136例口腔恶性肿瘤扩大切除术后同期行ALTF修复缺损患者的临床资料,回顾分析皮瓣成活率、术后并发症的发生情况及...

Clinical effect of anterolateral thigh flap repair on postoperative defects in oral malignant tumors

Objective To investigate the clinical efficacy of anterolateral thigh flap(ALTF) repair on postoperativesoft tissue defects in oral malignant tumors.MethodsThe clinical data of 136 oral malignant tumor patients at theSichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital from June 2017 to February 2019 werecollected. All the patients had undergone enlarged tumor resection, and the defects were repaired simultaneously byALTF. The flap survival rate and occurrence of postoperative complications were analyzed, and related functions wereevaluated.ResultsThe flap survival rate was 97.1%(132/136). Diabetes and the operation time were related to inacti-vation of the anterolateral thigh flap(P < 0.05). Fifty-three patients(40.0%) had systemic complications, and 38 patients(27.9%) had complications in the operation area, among which the pulmonary infection rate was the highest(28.6%).One year after the operation, 52 patients(38.2%) scored 10 points in language function evaluation. The mouth openingscore of 58 patients(42.6%) was 10 points, and the swallowing function score of 82 patients(60.3%) was 10 points.ConclusionALTF is an ideal free flap to repair soft tissue defects in oral and maxillofacial malignant tumors after re-section, with a high survival rate, small donor injury and good postoperative recovery of relevant functions.