锁骨上动脉皮瓣在口腔颌面部缺损修复中的应用进展

doi:10.13701/j.cnki.kqyxyj.2022.02.005

摘要/Abstract

摘要： 口腔颌面部肿瘤术后一期重建是临床治疗中的难点,尽管游离皮瓣是目前修复口腔颌面缺损的主流,但带蒂组织瓣仍然十分重要。锁骨上动脉皮瓣因其血供稳定、颜色质地与面颈部相近、厚薄适中、无需血管吻合、重建效果良好等特点逐渐受到口腔颌面外科医生的青睐,且锁骨上动脉皮瓣的应用可能有助于节约医疗资源,减轻患者负担。本文就该皮瓣的解剖、设计、制备、优缺点及其临床应用等做一综述。

关键词: 口腔颌面部肿瘤, 锁骨上动脉, 修复重建

Abstract: Primary reconstruction following oncologic resection in oral and maxillofacial field is a challenge in clinical treatment. Although free flaps are the mainstream for repairing oral and maxillofacial defects, pedicled tissue flaps still play an important role in the reconstructive surgery. The supraclavicular artery flap (SAF) is gaining an increased popularity over recent years because of its stable blood perfusion, similar color and texture to nearby skin, moderate thickness, and satisfactory repair effect. The SAF is easy to harvest, and does not require vascular anastomosis. The application of SAF may help to save medical resource and lighten the burden of patients. This article reviews the anatomy, design, advantages, disadvantages, and clinical application of the SAF.

Key words: head and neck neoplasms, supraclavicular artery, reconstruction

翁雁鸣, 郭家平. 锁骨上动脉皮瓣在口腔颌面部缺损修复中的应用进展[J]. 口腔医学研究, 2022, 38(2): 116-119.

WENG Yanming, GUO Jiaping. Anatomy and Application Progress of Supraclavicular Artery Flap in Reconstruction of Oral and Maxillofacial Defects[J]. Journal of Oral Science Research, 2022, 38(2): 116-119.

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