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  • Title: [Clinical application of relaying anteromedial thigh perforator flap in resurfacing of donor defect after anterolateral thigh flap transfer].
    Author: Song D, Li Z, Zhou X, Peng X, Zhou B, Lü C, Yang L, Peng W.
    Journal: Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi; 2017 Jan 15; 31(1):52-56. PubMed ID: 29798629.
    Abstract:
    OBJECTIVE: To investigate the clinical application of relaying anteromedial thigh (AMT) perforator flap in resurfacing of the donor defect after anterolateral thigh (ALT) flap transfer. METHODS: Between February 2012 and December 2015, 23 cases of oral carcinoma underwent radical resection; after resection of lesions, the tongue or mouth floor defects were reconstructed by ALT perforator flaps, and the donor sites were repaired with relaying AMT perforator flap at the same stage. There were 21 males and 2 females,with a mean age of 52.6 years (range, 29-74 years). Sixteen patients had tongue squamous cell carcinoma and 7 patients had buccal cancer. According to TNM tumor stage, 3 cases were classified as T 4N 0M 0, 5 cases as T 4N 1M 0, 7 cases as T 3N 1M 0, 5 cases as T 3N 2M 0, and 3 cases as T 3N 0M 0. The disease duration ranged from 6 to 18 months (mean, 8.8 months). RESULTS: The AMT perforators existed consistently in all patients. All flaps survived, and primary healing of wounds was obtained at recipient sites and donor sites. No vascular crisis, wound dehiscence, or obvious swelling occurred. All patients were followed up 6-20 months (mean, 9.4 months). There was only linear scar at the donor sites, and the function of thighs was normal. The color and contour of the flaps were satisfactory. CONCLUSION: The relaying AMT perforator flap is an ideal choice to reconstruct the donor site of ALT flap. 目的: 探讨股前内侧接力穿支皮瓣修复游离股前外侧穿支皮瓣供区的临床疗效。. 方法: 2012 年 2 月—2015 年 12 月，收治 23 例口腔癌患者。其中男 21 例，女 2 例；年龄 29～74 岁，平均 52.6 岁。舌鳞状细胞癌 16 例，口颊癌 7 例。肿瘤TNM分期：T 4N 0M 03 例，T 4N 1M 0 5 例，T 3N 1M 0 7 例，T 3N 2M 0 5 例，T 3N 0M 0 3 例。病程 6～18 个月，平均 8.8 个月。行颈淋巴清扫和原发病灶根治性切除术后，采用游离股前外侧穿支皮瓣行口腔缺损修复，供区采用股前内侧接力穿支皮瓣移位修复。. 结果: 所有患者均确认有恒定的股前内侧穿支存在，未发现穿支缺如。术后所有皮瓣均顺利成活，供受区创面均Ⅰ期愈合。未发生血管危象、伤口裂开和明显肿胀等情况。23 例均获随访，随访时间 6～20 个月，平均 9.4 个月。皮瓣供区仅遗留线性瘢痕，大腿功能未见明显影响，颜色及外观轮廓自然。. 结论: 股前内侧接力穿支皮瓣是修复游离股前外侧穿支皮瓣供区的理想选择。.
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