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首页> 外文期刊>National Journal of Maxillofacial Surgery >Lip and oral commissure reconstruction with the radial forearm flap
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Lip and oral commissure reconstruction with the radial forearm flap

机译：the骨前臂皮瓣重建唇和口腔连合

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Introduction:The radial forearm free flap has been a workhorse flap for lip reconstruction due to its pliability, color match, and ability to incorporate the palmaris longus tendon for support. We report our experience with the use of the radial forearm free flap in three patients post-tumor resection.Materials and Methods:Between 2009 and 2010, three patients had undergone resection of squammous cell carcinoma of the oral region and simultaneous reconstruction with the radial forearm free flap. The average patient age was 51 years and the average defect size was 4 × 3 cm2. In two patients, anterograde radial forearm free flap was used with a fascia lata free tendon graft for support and in one patient, a retrograde radial forearm flap was used without the use of tendon as support.Results:All three patients were satisfied with the initial management of tumor clearance. All three surgical margins were clear. Out of three, two patients complained that the flap was unsightly and were dissatisfied with the appearance and bulk of the flap.Conclusion:Although the radial forearm flap is recognized as a gold standard for lip reconstruction, there always appears to be a need for secondary revision procedures to further improve both the functional as well as esthetic appearance of the lip reconstruction procedure. As a primary reconstructive procedure, the flap does not satisfy patient expectations. A comprehensive questionnaire as well as objective assessment follow-up study is warranted.
机译：简介：无radial骨的前臂游离皮瓣由于其柔韧性，颜色匹配以及合并掌长肌腱作为支撑的能力而成为嘴唇重建的主力瓣。我们报告了3例肿瘤切除术后使用the骨前臂游离皮瓣的经验。材料与方法：2009年至2010年间，三名患者接受了口腔区域鳞状细胞癌的切除，并同时with骨前臂重建自由襟翼。患者平均年龄为51岁，平均缺损大小为4×3 cm2。 2例患者行顺行radial骨前臂游离皮瓣加无筋膜肌腱移植作为支持，其中1例患者行逆行radial骨前臂皮瓣而不使用肌腱作为支持。结果：3例患者均对初始手术感到满意清除肿瘤的管理。所有三个手术切缘均清晰可见。三分之二的患者抱怨皮瓣不美观，对皮瓣的外观和体积不满意。结论：尽管radial骨前臂皮瓣被认为是唇部重建的金标准，但似乎总是需要进行继发修订程序，以进一步改善嘴唇重建程序的功能和美学外观。作为主要的重建手术，皮瓣不能满足患者的期望。有必要进行全面的问卷调查和客观评估。

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