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目的:观察游离皮瓣修复口腔颌面-头颈肿瘤术后缺损的临床疗效。方法:回顾性分析了对我院2012年1月-2013年12月45例口腔颌面-头颈肿瘤术后缺损分别采用前臂皮瓣、腓骨皮瓣和股前外侧皮瓣进行修复的患者临床资料,进行分析和探讨。结果:本组45例患者均为I期愈合,组织瓣生长良好,供区恢复好,无功能障碍,未发生其他严重并发症。结论:前臂皮瓣、股前外侧皮瓣、腓骨皮瓣均为修复口腔颌面部恶性肿瘤切除术后组织缺损可选用的皮瓣,临床上应根据实际情况进行选择。
Objective: To observe the clinical effect of free flap in the treatment of postoperative defect of oral and maxillofacial - head and neck cancer. Methods: The clinical data of 45 patients with oral and maxillofacial-head and neck neoplasms repaired by forearm flap, fibular flap and anterolateral thigh flap in our hospital from January 2012 to December 2013 were retrospectively analyzed. , For analysis and discussion. Results: All the 45 patients in this group were healed by stage I, the tissue flap grew well, the donor area recovered well, no dysfunction and no other serious complications occurred. Conclusion: Forearm flaps, anterolateral thigh flaps and fibular flaps are all available flaps for tissue defect repair after oral and maxillofacial malignant tumor resection. The clinical application should be based on the actual situation.