穿支皮瓣修复口腔颌面-头颈部缺损专家共识

doi:10.19438/j.cjoms.2020.05.001

中国口腔颌面外科杂志 ›› 2020, Vol. 18 ›› Issue (5): 385-389.doi: 10.19438/j.cjoms.2020.05.001

穿支皮瓣修复口腔颌面-头颈部缺损专家共识

何悦¹, 蒋灿华², 侯劲松³, 王慧明⁴, 彭歆⁵, 刘冰⁶, 李劲松⁷, 郑磊⁵, 徐中飞⁸, 吴煜农⁹, 胡镜宙¹, 秦兴军¹, 艾松涛¹⁰, 周辉红¹¹, 李春洁¹², 张世周¹³, 王军¹⁴, 李晓光¹, 刘忠龙¹, 祝奉硕¹

1.上海交通大学医学院附属第九人民医院·口腔医学院口腔颌面-头颈肿瘤科,上海 200011;
2.中南大学湘雅医院口腔颌面外科,湖南长沙 410008;
3.中山大学光华口腔医学院附属口腔医院口腔颌面外科,广东广州 510055;
4.浙江大学口腔医学院,浙江大学医学院附属第一医院口腔颌面外科,浙江杭州 310006;
5.北京大学口腔医学院口腔颌面外科,北京 100081;
6.武汉大学口腔医院口腔颌面外科,湖北武汉 430070;
7.中山大学孙逸仙纪念医院口腔颌面外科,广东广州 510120;
8.中国医科大学附属口腔医院口腔颌面-头颈外科,辽宁沈阳 110002;
9.南京医科大学附属口腔医院口腔颌面外科,江苏南京 210029;
10.上海交通大学医学院附属第九人民医院影像科,上海 200011;
11.上海交通大学医学院附属第九人民医院超声科,上海 200011;
12.四川大学华西口腔医院头颈肿瘤外科,四川成都 610041;
13.山东第一医科大学附属省立医院口腔颌面外科,山东济南 250021;
14.甘肃省肿瘤医院头颈二科,甘肃兰州 730050

收稿日期:2020-04-30 修回日期:2020-05-06 出版日期:2020-09-20 发布日期:2020-10-28
通讯作者: 何悦,E-mail:william5218@126.com
作者简介:何悦（1973-）,男,教授,主任医师,博士研究生导师
基金资助:
上海交通大学研究型医师项目（20152222）

Expert consensus statement on application of perforator flap in oromaxillofacial head and neck defect reconstruction

HE Yue¹, JIANG Can-hua², HOU Jin-song³, WANG Hui-ming⁴, PENG Xin⁵, LIU Bing⁶, LI Jin-song⁷, ZHENG Lei⁵, XU Zhong-fei⁸, WU Yu-nong⁹, HU Jing-zhou¹, QIN Xing-jun¹, AI Song-tao¹⁰, ZHOU Hui-hong¹¹, LI Chun-jie¹², ZHANG Shi-zhou¹³, WANG Jun¹⁴, LI Xiao-guang¹, LIU Zhong-long¹, ZHU Feng-shuo¹

1. Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
2. Department of Oral and Maxillofacial Surgery, Xiangya Hospital Central South University. Changsha 410008, Hunan Province;
3. Department of Oral and Maxillofacial Surgery, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University. Guangzhou 510055, Guangdong Province;
4. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhejiang University of Medicine, School of Stomatology, Zhejiang University. Hangzhou 310006, Zhejiang Province;
5. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology. Beijing 100081;
6. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Wuhan University. Wuhan 430070, Hubei Province;
7. Department of Oral and Maxillofacial Surgery, Sun Yat -sen Memorial Hospital, Sun Yat-sen University. Guangzhou 510120, Guangdong Province;
8. Department of Oromaxillofacial Head and Neck Surgery, School and Hospital of Stomatology, China Medical University. Shenyang 110002, Liaoning Province;
9. Department of Oral and Maxillofacial Surgery, The Affiliated Stomatological Hospital of Nanjing Medical University. Nanjing 210029, Jiangsu Province;
10. Radiology Department, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
11. Ultrasonic Department, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
12. Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology. Chengdu 610041, Sichuan Province;
13. Department of Oral and Maxillofacial Surgery, Shandong First Medical University. Jinan 250021, Shandong Province;
14. Department of Head and Neck Oncology, Gansu Provincial Cancer Hospital. Lanzhou 730050, Gansu Province, China

Received:2020-04-30 Revised:2020-05-06 Online:2020-09-20 Published:2020-10-28

摘要/Abstract

摘要： 穿支皮瓣由皮肤穿支血管供血,是常用的组织缺损修复形式,但头颈部解剖复杂、缺损形式多样以及穿支血管解剖变异等,阻碍了穿支皮瓣在口腔颌面-头颈部缺损修复中的进一步应用。迄今为止,国内外对于穿支皮瓣修复口腔颌面-头颈部缺损临床应用缺少相关治疗指南,穿支血管的术前评价缺乏统一标准,穿支皮瓣的应用设计缺乏科学的规范,穿支皮瓣修复术后缺少客观的监测和评价体系。为进一步统一和规范穿支皮瓣在口腔颌面-头颈部缺损修复中的应用,提高重建效果,本共识总结全国多家著名医学院校及附属医院口腔颌面外科专家团队的实践经验,供临床医师参考。

关键词: 穿支皮瓣, 口腔颌面-头颈部缺损, 修复重建, 专家共识

Abstract: Perforator flap is supplied by the cutaneous perforator vessels, which is a common modality to reconstruct the defect tissue. However, the complex anatomy, the variety of defects in the head and neck and the perforator vessel variation prevent perforator flap from application further. So far, there is no guideline for the clinical application of perforator flaps to repair oral maxillofacial head and neck defects. Preoperative evaluation of perforator vessels lacks uniform standards and the design of perforator flaps lacks reasonable norms. There is no objective monitoring and evaluation system after perforator flap reconstruction. To further standardize the application of perforator flaps and improve the reconstruction effect in oral maxillofacial head and neck defect, this consensus summarized the practical experience of oral and maxillofacial surgeons for clinical reference.

Key words: Perforator flap, Oromaxillofacial head and neck defect, Reconstruction, Expert consensus

中图分类号:

R782.2

何悦, 蒋灿华, 侯劲松, 王慧明, 彭歆, 刘冰, 李劲松, 郑磊, 徐中飞, 吴煜农, 胡镜宙, 秦兴军, 艾松涛, 周辉红, 李春洁, 张世周, 王军, 李晓光, 刘忠龙, 祝奉硕. 穿支皮瓣修复口腔颌面-头颈部缺损专家共识[J]. 中国口腔颌面外科杂志, 2020, 18(5): 385-389.

HE Yue, JIANG Can-hua, HOU Jin-song, WANG Hui-ming, PENG Xin, LIU Bing, LI Jin-song, ZHENG Lei, XU Zhong-fei, WU Yu-nong, HU Jing-zhou, QIN Xing-jun, AI Song-tao, ZHOU Hui-hong, LI Chun-jie, ZHANG Shi-zhou, WANG Jun, LI Xiao-guang, LIU Zhong-long, ZHU Feng-shuo. Expert consensus statement on application of perforator flap in oromaxillofacial head and neck defect reconstruction[J]. China J Oral Maxillofac Surg, 2020, 18(5): 385-389.

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穿支皮瓣修复口腔颌面-头颈部缺损专家共识

Expert consensus statement on application of perforator flap in oromaxillofacial head and neck defect reconstruction

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