股前外侧皮瓣修复颊部大面积洞穿性组织缺损

Repair of large full thickness defect ofcheek with free anterolateral thigh flap

摘要:

目的:探讨应用股前外侧皮瓣修复颊部肿瘤切除术后大面积洞穿性组织缺损的方法及疗效。方法:2006年10月~2009年10月应用游离双皮岛股前外侧穿支皮瓣，Ⅰ期修复颊部肿瘤切除术后大面积洞穿性缺损19例，面颊面皮肤缺损范围8 cm×6 cm~4 cm×4 cm，口颊面黏膜缺损范围9 cm×7 cm~6 cm×5 cm，所用股前外侧皮瓣面积20 cm×8 cm~12 cm×6 cm。结果:19例游离股前外侧穿支皮瓣全部成活，其中18例创面Ⅰ期愈合；1例颊部皮肤面部分坏死，黏膜面成活，经换药后伤口愈合。结论:游离股前外侧穿支皮瓣组织量丰富，修复颊部缺损形态与功能保持好，是修复颊部大面积洞穿性缺损的理想皮瓣。 

Abstract:

OBJECTIVE:To investigate the methodology and effectiveness of free anterolateral thigh flap (ALT) for repairing large fullthickness defect of cheek after tumor resection. METHODS:From Dec 2006 to Dec 2009, large fullthickness defect of cheek after tumor resection was repaired with ALT in 19 patients. The defect size of jowl area ranged from 8 cm×6 cm to 4 cm×4 cm while that of cheek area was from 9 cm×7 cm to 6 cm×5 cm. The ALT was harvested with available size ranged from 20 cm×8 cm to 12 cm×6 cm. RESULTS:Flaps survived in all 19 cases with satisfactory vocal function and appearance. CONCLUSION:Owing to application of enough tissue and preservation of well appearance and function, ALT flap is ideal for repairing the large fullthickness defect of cheek after tumor resection.