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目的 :探讨股前外侧肌皮瓣修复颊癌术后软组织缺损的效果。方法 :2013年5月—2015年5月以股前外侧肌皮瓣修复颊癌术后缺损患者23例。设计并制备股前外侧肌皮瓣单岛或者多岛,修复颊癌术后组织缺损。术后观察口腔颌面部及供区形态和功能,总结皮瓣制取及修复经验。结果:23例股前外侧皮瓣全部成活,其中3例术后24 h内出现血管危象,经抢救后皮瓣成活,成活率100%。随访1~3 a,口腔颌面部及供区形态、功能恢复良好,1例出现颊部积液并感染,经冲洗引流处理后恢复良好;2例术后复发、死亡。结论:股前外侧肌皮瓣修复颊癌术后软组织缺损效果良好,值得临床推广应用。
Objective: To investigate the effect of anterolateral musculocutaneous flap in repairing postoperative soft tissue defects of buccal carcinoma. Methods: From May 2013 to May 2015, 23 cases of postoperative defect of buccal carcinoma were treated with anterolateral posterolateral musculocutaneous flap. Design and preparation of an anterior or posterior posterolateral muscle flap single island or multiple islands, repair of postoperative buccal cancer tissue defects. The morphology and function of oral maxillofacial region and donor area were observed after operation, and the experience of making and repairing the flap was summarized. RESULTS: Twenty-three anterior lateral flaps survived. Among them, 3 cases developed vascular crisis within 24 hours after operation. The flaps survived after the rescue and the survival rate was 100%. Followed up for 1 to 3 years, the morphology and function of oral and maxillofacial region and donor area recovered well. One case had buccal effusion and infection, which recovered well after irrigation and drainage treatment. Two cases recurred and died after operation. Conclusion: Anterolateral musculocutaneous flaps are effective in repairing soft tissue defects of buccal carcinoma, which is worthy of clinical application.