游离股前外侧皮瓣修复腮腺恶性肿瘤术后缺损12例效果评价

doi:10.19438/j.cjoms.2023.06.003

中国口腔颌面外科杂志 ›› 2023, Vol. 21 ›› Issue (6): 548-552.doi: 10.19438/j.cjoms.2023.06.003

游离股前外侧皮瓣修复腮腺恶性肿瘤术后缺损12例效果评价

葛良玉^1,*, 邵翠玲^1,*, 王守鹏¹, 陈霖², 李志萍¹, 顾倩平¹, 孟箭¹

1.徐州市中心医院口腔科,江苏徐州 221009;
2.徐州医科大学,江苏徐州 221004

收稿日期:2023-06-25 修回日期:2023-08-26 出版日期:2023-11-20 发布日期:2023-12-07
通讯作者: 孟箭,E-mail：mroket@126.com
作者简介:葛良玉（1990-）,男,硕士,E-mail：547962197@qq.com;邵翠玲（1990-）,女,硕士,E-mail：442318105@qq.com。^*并列第一作者
基金资助:
国家口腔疾病临床医学研究中心临床研究项目（NCRCO-202101）; 徐州市科技局重点研发项目（ZYSB20210230）

Evaluation of the value of free anterolateral thigh flap in repairing postoperative defects of parotid gland malignant tumors

GE Liang-yu¹, SHAO Cui-ling¹, WANG Shou-peng¹, CHEN Lin², LI Zhi-ping¹, GU Qian-ping¹, MENG Jian¹

1. Department of Stomatology, Xuzhou Central Hospital. Xuzhou221009;
2. Xuzhou Medical University. Xuzhou221004, Jiangsu Province, China

Received:2023-06-25 Revised:2023-08-26 Online:2023-11-20 Published:2023-12-07

摘要/Abstract

摘要： 目的: 探讨游离股前外侧皮瓣修复腮腺恶性肿瘤术后缺损的效果。方法: 选择2019 年 1 月—2022 年 12 月徐州市中心医院收治的12例采用股前外侧皮瓣修复腮腺恶性肿瘤术后缺损的患者。手术切除肿瘤组织后,根据腮腺区缺损面积及外形,设计和制备股前外侧皮瓣,修复肿瘤切除后的组织缺损。术后随访观察患者皮瓣成活、外观恢复情况、患侧面部表情肌功能及患者满意度。采用SPSS 20.0软件包对数据进行统计学分析。结果: 术后皮瓣均成活良好,缺损均得到有效修复。术后 1个月,患者皮瓣与周边皮肤组织厚度、色泽无明显差异,无牵拉及不对称,外观修复效果满意,满意度为 83.33%。9例患者术后患侧面部表情肌功能较术前减弱,3例患者术前即出现面瘫症状,术后患侧面部表情肌功能较术前未见改善。结论: 游离股前外侧皮瓣修复腮腺恶性肿瘤术后缺损效果满意,皮瓣美观,患者术后满意度高,且供区隐蔽,自身创伤小,具有一定实用价值。但腮腺恶性肿瘤术后患侧面部表情肌失神经支配,通过游离股前外侧皮瓣的个性化设计修复,患侧面部表情肌功能无明显改善。

关键词: 股前外侧皮瓣, 组织缺损修复, 腮腺恶性肿瘤

Abstract: PURPOSE: To investigate the effect of free anterolateral thigh(ALT) flap for repairing postoperative defects in parotid gland malignant tumors. METHODS: Twelve patients who underwent repair of postoperative defects in parotid gland malignant tumors using ALT flap were admitted in Xuzhou Central Hospital from January 2019 to December 2022. The ALT flap was designed and prepared based on the area and shape of the parotid gland defect to repair tissue defect after tumor resection. The patient's flap survival, appearance recovery, facial expression muscle function on the affected side, and patient satisfaction after surgery were observed. SPSS 20.0 software package was used to analyze the data. RESULTS: All the flaps survived smoothly and the defects were effectively repaired. There was no significant difference in thickness or color between the flap and the surrounding skin tissue, no traction or asymmetry one month after surgery. The appearance and functional repair effect were satisfactory, with a satisfaction rate of 83.33%. Nine patients had weakened facial expression muscle function on the affected side after surgery, while three patients had symptoms of facial paralysis before surgery had no improvement in facial expression muscle function on the affected side after surgery. CONCLUSIONS: The ALT flap for repairing postoperative defects in parotid gland malignant tumors has satisfactory results, and the donor site is concealed with minimal self trauma, therefore, it is worthy of clinical application. However, after surgery for parotid gland malignant tumors, the facial expression muscles on the affected side were denervated, and personalized design and repair with a free ALT flap did not significantly improve the function of the facial expression muscles on the affected side.

Key words: Anterolateral thigh flap, Tissue defects restoration, Malignant tumors of the parotid gland

中图分类号:

R782.2

葛良玉, 邵翠玲, 王守鹏, 陈霖, 李志萍, 顾倩平, 孟箭. 游离股前外侧皮瓣修复腮腺恶性肿瘤术后缺损12例效果评价[J]. 中国口腔颌面外科杂志, 2023, 21(6): 548-552.

GE Liang-yu, SHAO Cui-ling, WANG Shou-peng, CHEN Lin, LI Zhi-ping, GU Qian-ping, MENG Jian. Evaluation of the value of free anterolateral thigh flap in repairing postoperative defects of parotid gland malignant tumors[J]. China J Oral Maxillofac Surg, 2023, 21(6): 548-552.

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游离股前外侧皮瓣修复腮腺恶性肿瘤术后缺损12例效果评价

Evaluation of the value of free anterolateral thigh flap in repairing postoperative defects of parotid gland malignant tumors

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