545块头颈部游离组织瓣移植的临床分析.pdfVIP

2003 2 38 1 Chin J Oto hinola yngol, Feb ua y 2003, Vol 38, No. 1 # 3 # ## 545 毛驰 俞光岩 彭歆 郭传 黄敏娴 张益 = 1999 5 ~ 2002 9 507 545 , , 3 , 9610% ( 523/ 545) ; 9812% ( 535/ 545) , 418% ( 26/ 545) , 6115% ( 16/ 26) ; 2512% ( 128/ 507) , , ; ( ) , , = ; ; A review of 545 consecutive free flap transfers for head and neck reconstruction in a new microsurgery unit MA O Chi, YU Guang-yan, PENG X in, G UO Chuan-bin, H UANG Min-xian, ZHANG Yi1 Dep artment o Oral Maxillo acial Surgery , Peking University School o Stomatology , Beij ing 100081 , China Co esponding autho : MAO Chi( Email : maochi@ 29111 net) = Abstract Objective To analyze the value of f ee flap t ansfe s in head and neck econst uction1 Methods Five hund ed and fo ty-five consecutive f ee flap t ansfe s pe fo med in 507 patients f om May 1999 to Septembe 2002 we e eviewed1 Data conce ning the ope ation included date of su ge y, defect desc iption and site, stage and histology of tumo , flap type, ecipient vessel and complications1 Results The f ee fibula flap was most commonly used, followed by f ee adial fo ea m flap, ectus abdominis flap, j ejunum flap, scapula flap, illiac c est flap, latissimus do si flap, and ante olate al thigh flap1 The ove all success ate of flap was 9812% ( 535/ 545) 1The ove all complication ate was 2512% ( 128/ 507) 1 The vessel th ombosis ate was 418% ( 26/ 545) , and the flap salvage ate was 6115% ( 16/ 26) 1 Conclusion F ee flap t ansfe in head and neck eg ion is safe and eliable1 It is supe io to the conventional pedicled flap technique1 = Key words Head and neck neoplasms; Su gical flaps; Reconst uctive su gical p ocedu es , , , ,