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Free anterolateral thigh flap for repairing the defects of oral cavity and maxillofacial / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery ; (12): 587-590, 2006.
Artículo en Chino | WPRIM | ID: wpr-298808
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the outcomes following the tumor resection of oral cavity and maxillofacial and reconstruction with free anterolateral thigh flaps (ALT).</p><p><b>METHODS</b>Thirty one patients underwent ALT reconstruction following the tumor resection from Dec. 2004 to Dec. 2005. Among them, 17 cases were squamous cell carcinoma (SCC) of tongue, 6 cases of buccal SCC and 8 other malignant. The size of the ALT flaps ranged from 4 to 8 cm in width and 6 to 23 cm in length. Tracheotomy were performed for 4 cases intraoperatively.</p><p><b>RESULTS</b>The overall successful rate was 96.8%. Thirty cases survival no cancer, 1 case died of recurrent and no-controlled of lymph-node in 8 months after operation. Postoperative vessel thrombosis occurred in 3 flaps between 12 hours to 4 days after operation. Two of them were saved. The necrosis area of the third flap was 25%.</p><p><b>CONCLUSIONS</b>The ALT was benefit to repair the defects of oral cavity and maxillofacial, and the donor place was more easily hidden and didn't not influence the outlook and function; the important normal functional framing such as teeth and bone should be preserved; the pedicle of vessel could't be twisted during the procedure of reconstruction to avoid vein oppressed; the size of flap should be suitable to defects in order to avoid flaps being crowd and blood clot; tracheotomy was safe while repairing the defect of hard and soft palate. Reconstructive surgical procedures;</p>
Asunto(s)
Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Cirugía General / Colgajos Quirúrgicos / Muslo / Neoplasias de la Boca / Carcinoma de Células Escamosas / Trasplante de Piel / Procedimientos de Cirugía Plástica / Métodos / Boca Límite: Adulto / Anciano / Femenino / Humanos / Masculino Idioma: Chino Revista: Chinese Journal of Otorhinolaryngology Head and Neck Surgery Año: 2006 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Cirugía General / Colgajos Quirúrgicos / Muslo / Neoplasias de la Boca / Carcinoma de Células Escamosas / Trasplante de Piel / Procedimientos de Cirugía Plástica / Métodos / Boca Límite: Adulto / Anciano / Femenino / Humanos / Masculino Idioma: Chino Revista: Chinese Journal of Otorhinolaryngology Head and Neck Surgery Año: 2006 Tipo del documento: Artículo