股前内侧皮瓣作为替代皮瓣在颌面部软组织缺损中的应用

孙黎波; 兰玉燕; 周航宇; 付光新; 王雷; 李勇

doi:10.13201/j.issn.2096-7993.2020.03.016

股前内侧皮瓣作为替代皮瓣在颌面部软组织缺损中的应用

- 1.
  西南医科大学附属口腔医院口腔颌面外科(四川泸州，646000)
- 2.
  西南医科大学附属医院口腔颌面外科
- 3.
  西南医科大学口颌面修复重建和再生实验室
基金项目:
四川省泸州市科技局[No：2015-S-50(1/3)，No：2017-S-42(1/2)]；四川省医学会青年项目(No：Q18011)；泸州医学院青年基金(No：2013ZRQN048)

详细信息

通讯作者: 兰玉燕，E-mail：slb-324324@163.com

中图分类号: R782.2

收稿日期: 2019-06-29

刊出日期: 2020-03-05

Application of anteromedial thigh flap as a alternative flap in maxillofacial soft tissue defects

- 1.
  Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Southwest Medical University, Luzhou, 646000, China
- 2.
  Department of Oral and Maxillofacial Surgery, the Affiliated Hospital of Southwest Medical University
- 3.
  Orofacial Reconstruction and Regeneration Laboratory, Southwest Medical University

More Information

Corresponding author: LAN Yuyan, E-mail: slb-324324@163.com

Received Date: 29 June 2019

Publish Date: 05 March 2020

摘要

摘要: 目的探讨股前内侧皮瓣作为替代皮瓣在颌面部软组织缺损修复中的应用价值。方法 60例拟行股前外侧皮瓣修复手术的患者，术前常规行CT血管造影，利用影像工作站，分别于股前内侧、外侧区定位穿支血管的体表位置。其中有4例在股前外侧皮瓣制备过程中无合适穿支，在同一术区依据股前内侧区定位的穿支血管的体表位置，再次制备股前内侧皮瓣修复缺损。结果 4例股前内侧皮瓣均完全成活，切取皮瓣面积最大9 cm×6 cm，最小7 cm×4 cm，随访6~12个月，受区及供区功能恢复满意。结论术前应用CT血管造影能够有效地提高皮瓣制备的准确性，制备股前外侧皮瓣无合适穿支血管时，使用同侧股前内侧皮瓣是一种有效的替代方案。
- CT血管造影 /
- 股前内侧皮瓣 /
- 股前外侧皮瓣 /
- 穿支血管
Abstract: Objective To explore the application value of anteromedial thigh flap(AMT) as alternative flap in repairing maxillofacial soft tissue defects.Method Sixty patients were scheduled to underwent anterolateral thigh flap(ALT) reconstruction. Preoperative CT angiography were conducted. Imaging workstations were used to locate perforator vessels in the anterolateral and anteromedial areas respectively. Four patients had no suitable perforator during the preparation of AMT flaps. In the same operation area, ALT flaps were prepared to reconstruct the defect according to the location of the perforator vessels in the anteromedial areas.Result All four AMT flaps survived uneventfully. Flap sizes ranged from 9 cm×6 cm to 7 cm×4 cm. The follow-up period ranged from 6 to 12 months, the functions of recipient and donor sites recovered well.Conclusion Preoperative CT angiography can improve the accuracy of the preparation of skin flap effectively. When no sizable perforator is available during harvest of the ALT flap, successful reconstruction can be achieved using the ipsilateral AMT flap.
- CT angiography /
- anteromedial thigh flap /
- anterolateral thigh flap /
- perforator vessels

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图 1 AMT修复左舌腹高分化鳞状细胞癌术后缺损的典型病例

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