口腔医学研究

口腔医学研究 ›› 2024, Vol. 40 ›› Issue (11): 1009-1012.DOI: 10.13701/j.cnki.kqyxyj.2024.11.012

• 口腔颌面外科学研究 • 上一篇    下一篇

前臂真皮脂肪瓣在口腔颌面部软组织缺损中的临床研究

孙黎波1, 兰玉燕2, 张磊2, 孙晓强3*, 张春锋3, 王昌密3, 梁云红3   

  1. 1.四川省泸州市人民医院口腔科 四川 泸州 646000;
    2.西南医科大学附属口腔医院口颌面修复重建和再生泸州市重点实验室 四川 泸州 646000;
    3.四川省泸州市人民医院耳鼻咽喉头颈外科 四川 泸州 646000
  • 收稿日期:2024-03-20 出版日期:2024-11-28 发布日期:2024-11-27
  • 通讯作者: *孙晓强,E-mail:slb-324324@163.com
  • 作者简介:孙黎波(1979~ ),男,辽宁朝阳人,硕士,副主任医师,主要从事口腔颌面缺损修复的临床研究。
  • 基金资助:
    四川省医学会青年创新科研课题(编号:S20086;Q22064)泸州市科技计划资助(编号:2024JYJ087)泸州市科技局应用研究基础(编号:2023JYJ053)泸州市医学会科研项目(编号:2024-YXXM-010)

Clinical Comparative Research of Forearm Dermal Fat Flap for Reconstruction of Defects in Oral and Maxillofacial Region

SUN Libo1, LAN Yuyan2, ZHANG Lei2, SUN Xiaoqiang3*, ZHANG Chunfeng3, WANG Changmi3, LIANG Yunhong3   

  1. 1. Departmentof Stomatology, Luzhou People's Hospital, Luzhou 646000, China;
    2. Oral & Maxillofacial Reconstruction and Regeneration of Luzhou Key Laboratory, The Affiliated Stomatological Hospital of Southwest Medica University, Luzhou 646000, China;
    3. Departmentof Otolaryngology-Head and Neck Surgery, Luzhou People's Hospital, Luzhou 646000, China
  • Received:2024-03-20 Online:2024-11-28 Published:2024-11-27

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摘要： 目的: 评估前臂真皮脂肪瓣在口腔颌面部软组织缺损修复中的应用效果。方法: 2020年7月~2023年6月,行前臂皮瓣修复24例口腔颌面部软组织缺损。根据制取皮瓣的方法不同,分为传统前臂皮瓣组(n=12)和前臂真皮脂肪瓣组(n=12),对皮瓣制取时间、皮瓣大小、术后6月前臂供区的外观及功能进行评估。结果: 两组皮瓣存活率均为100％。传统前臂皮瓣组较真皮脂肪瓣组皮瓣制取时间明显缩短(P<0.05),两组皮瓣大小差异无统计学意义(P>0.05)。术后6月,两组患者在供区色素沉着及供区瘢痕差异有统计学意义(P<0.05),在手部感觉及手腕活动方面差异无统计学意义(P>0.05)。结论: 两组患者在供区功能恢复方面无差异,但前臂真皮脂肪瓣避免了第三术区,对供区外观影响小,可以作为传统前臂皮瓣的替代方案。

关键词: 真皮脂肪瓣, 缺损, 修复, 供区, 外观, 功能

Abstract: Objective: To evaluate the applicable effect of forearm dermal fat flap in the repair of defects in oral and maxillofacial region. Methods: From July 2020 to June 2023, 24 patients with soft tissue defects in oral and maxillofacial region were repaired with forearm flap. According to the method of operation criteria, 24 patients were divided into traditional forearm flap group (12 cases) and forearm dermal fat flap group (12 cases). The flap preparation time, flap size, and the appearance and function of the forearm donor site at 6 months post-operatively were evaluated. Results: The flap survival rates of both groups were 100%. The flap preparation time of traditional forearm flap group was shorter than that of the forearm dermal fat flap group (P<0.05), and there was no difference in the flap size between two groups (P>0.05). Six months after the surgery, there was significant difference in the pigment deposition and surgical scars in the donor area between two groups (P<0.05), however, no significant difference in hand sensation and wrist movement (P>0.05). Conclusion: There was no difference in the functional recovery of the donor site between two groups of patients. The forearm dermal fat flap avoided the third surgical site and had little impact on the appearance of the donor site, which provided an alternative to the conventional forearm flap harvest.

Key words: dermal fat flap, defect, repair, donor site, appearance, function