Journal of Prevention and Treatment for Stomatological Diseases ›› 2021, Vol. 29 ›› Issue (5): 328-333.DOI: 10.12016/j.issn.2096-1456.2021.05.006

• Clinical Study • Previous Articles     Next Articles

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

WEI Zhuo1(),GUO Jun2,HUANG Yi2,FEI Wei1,2(),LUO Jianfeng3   

  1. 1. School of Stomatology, North Sichuan Medical College, Nanchong 637000, China
    2. Department of Stomatology, Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital, Chengdu 610072, China
    3. School of Medicine, University of Electronic Science and Technology, Chengdu 610054, China
  • Received:2020-11-24 Revised:2021-01-03 Online:2021-05-20 Published:2021-03-08
  • Contact: Wei FEI
  • Supported by:
    Science and Technology Project of Sichuan Province(2017JY0082)

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

魏卓1(),郭骏2,黄怡2,费伟1,2(),罗建峰3   

  1. 1.川北医学院口腔医学院,四川 南充(637000)
    2.四川省医学科学院·四川省人民医院口腔科,四川 成都(610072)
    3.电子科技大学医学院,四川 成都(610054)
  • 通讯作者: 费伟
  • 作者简介:魏卓,硕士研究生,Email: 2456018637@qq.com
  • 基金资助:
    四川省科技计划项目(2017JY0082)

Abstract:

Objective To investigate the clinical efficacy of anterolateral thigh flap(ALTF) repair on postoperative soft tissue defects in oral malignant tumors. Methods The clinical data of 136 oral malignant tumor patients at the Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital from June 2017 to February 2019 were collected. All the patients had undergone enlarged tumor resection, and the defects were repaired simultaneously by ALTF. The flap survival rate and occurrence of postoperative complications were analyzed, and related functions were evaluated. Results The flap survival rate was 97.1% (132/136). Diabetes and the operation time were related to inactivation 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 opening score of 58 patients (42.6%) was 10 points, and the swallowing function score of 82 patients (60.3%) was 10 points. Conclusion ALTF is an ideal free flap to repair soft tissue defects in oral and maxillofacial malignant tumors after resection, with a high survival rate, small donor injury and good postoperative recovery of relevant functions.

Key words: anterolateral thigh flap, oral malignant tumors, oral and maxillofacial, tissue defect, reconstruction, complications, flap crisis, postoperative functional recovery

摘要:

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对相关功能进行评估。结果 皮瓣移植成活率97.1%(132/136);糖尿病、手术时间与股前外侧皮瓣危象有关(P<0.05);53例(40.0%)患者出现全身并发症,38例(27.9%)出现术区并发症,其中肺部感染率最高(28.6%);术后1年相关功能评估,52例(38.2%)患者语言功能评分为10分;58例(42.6%)患者张口度评分为10分;82例(60.3%)患者吞咽功能评分为10分。结论 ALTF是修复颌面部软组织缺损的理想游离皮瓣,移植皮瓣成活率高,供区损伤小,术后相关功能恢复良好。

关键词: 股前外侧皮瓣, 口腔恶性肿瘤, 口腔颌面部, 组织缺损, 修复重建, 并发症, 皮瓣危象, 术后功能恢复

CLC Number: