华西口腔医学杂志

• 病例报告 • 上一篇    下一篇

股前内侧皮瓣紧急替代股前外侧皮瓣修复颌面部贯通缺损1例

孙海滨 李博 李春洁 门乙 高宁 李龙江   

  1. 口腔疾病研究国家重点实验室 华西口腔医院头颈肿瘤外科(四川大学),成都 610041
  • 出版日期:2015-06-01 发布日期:2015-06-01
  • 通讯作者: 李龙江,教授,博士,E-mail:muzili63@163.com
  • 作者简介:孙海滨,硕士,E-mail:825883110@qq.com
  • 基金资助:

    卫生部国家临床重点专科建设——口腔颌面外科专业基金资助项目(2011)

Perforated maxillofacial defect repaired by anteromedial thigh flap instead of anterolateral thigh flap: a case report

Sun Haibin, Li Bo, Li Chunjie, Men Yi, Gao Ning, Li Longjiang.   

  1. State Key Laboratory of Oral Diseases, Dept. of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Online:2015-06-01 Published:2015-06-01

摘要:

股前外侧皮瓣作为口腔颌面部软组织缺损的修复皮瓣,近年来已得到临床医生的广泛应用,但其血管的解剖变异往往会给手术造成困难,甚至取皮瓣失败。本文报道1例因股前外侧皮瓣血管解剖变异而术中紧急采用股前内侧皮瓣替代股前外侧皮瓣修复颌面部贯通缺损的病例,并结合文献探讨股前内侧皮瓣的解剖及应用。

关键词: 股前内侧皮瓣, 股前外侧皮瓣, 颌面部缺损, 修复

Abstract:

Anterolateral thigh flap is perfect for reconstructing maxillofacial soft tissue defects. This tissue has been widely used by clinicians, but often causes operation difficulties because of vascular variation. In this paper, we report a case where anteromedial thigh was used as new donor site when the vascular anatomic variation of anterolateral thigh perforator flap induced a failure in the flap harvest. Moreover, this paper discusses the anatomy and application of anteromedial thigh flap.

Key words: anteromedial thigh flap, anterolateral thigh flap, maxillofacial defect, reconstruction