Assessment of the contralateral facial artery pedicle nasolabial island flap for buccal defect repair
Assessment of the contralateral facial artery pedicle nasolabial island flap for buccal defect repair
复制标题
对侧面动脉带蒂鼻唇沟岛状皮瓣修复颊部缺损的评估
DOI：
10.1016/j.ijom.2019.01.033
复制
发表时间：
2020-07-01
影响因子：
2.4
通讯作者：
Liao, G. -Q.
中科院分区：
文献类型：
--
作者：
Zhou, X.;Zhang, S. -E.;Liao, G. -Q.
面动脉蒂鼻唇沟岛状皮瓣广泛应用于口腔颌面部修复。然而，由于同侧颈部淋巴结沿面动脉转移的可能性，它在恶性肿瘤切除后重建中的应用受到限制。通过精细解剖，发现健侧FAPNIF可用于修复颊癌切除后的缺损。本研究的目的是评估对侧FAPNIF修复口腔缺损的临床效果。从2013年到2016年，30名患者接受了肿瘤切除后对侧FAPNIF修复口腔缺损的手术。分别于术前、术后3个月、6个月和12个月记录临床结果和并发症，并评估生活质量。30例全部成活。术后1个月平均张口度2.50±0.14 cm，术后6个月平均张口度3.22±-0.25 cm，术后12个月平均张口度3.35±-0.23 cm。在患者生活质量方面，不良反应包括美学受损、疼痛和进食困难；这些通常在手术后一年内消退。健侧FAPNIF取材容易，是修复口腔癌切除后中型口腔缺损的安全有效的方法。
The facial artery pedicle nasolabial island flap (FAPNIF) is widely used for oral and maxillofacial reconstruction. However, its use in reconstruction after malignant tumour resection is limited by the possibility of ipsilateral cervical lymph node metastasis along the facial artery. Through fine dissection, it was found that the contralateral FAPNIF can be used to repair the defect after buccal carcinoma resection. The aim of this study was to evaluate the clinical outcomes of the contralateral FAPNIF for buccal defect repair. From 2013 to 2016, 30 patients underwent the repair of a buccal defect with a contralateral FAPNIF after tumour resection. Clinical outcomes and complications were recorded and quality of life was evaluated preoperatively and at 3, 6, and 12 months postoperative. The flaps survived in all 30 cases. Mean mouth opening was 2.50 +/- 0.14 cm at 1 month, 3.22 +/- 0.25 cm at 6 months, and 3.35 +/- 0.23 cm at 12 months postoperative. With regard to patient quality of life, adverse effects included impaired aesthetics, pain, and difficulty eating; these usually subsided within 1 year after surgery. The contralateral FAPNIF is easily harvested and is a safe and effective option for the repair of medium-sized buccal defects after the resection of carcinoma.