OSTEOMYOCUTANEOUS PERONEAL ARTERY-BASED COMBINED FLAP FOR RECONSTRUCTION OF COMPOSITE AND EN BLOC MANDIBULAR DEFECTS

被引：43

作者：

Cheng, Ming-Huei ^{[1
]}

Saint-Cyr, Michel ^{[2
]}

Ali, Rozina S. ^{[1
]}

Chang, Kai-Ping ^{[3
]}

Hao, Sheng-Po ^{[3
]}

Wei, Fu-Chan ^{[1
]}

机构：

[1] Chang Gung Univ, Coll Med, Chang Gung Mem Hosp, Dept Plast & Reconstruct Surg, Taipei, Taiwan

[2] Univ Texas SW Med Ctr Dallas, Dept Plast Surg, Dallas, TX 75390 USA

[3] Chang Gung Univ, Coll Med, Chang Gung Mem Hosp, Dept Head & Neck Surg, Taipei, Taiwan

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2009年 / 31卷 / 03期

关键词：

osteomyocutaneous; peroneal artery-based combined flap; fibula osteoseptocutaneous flap; composite mandibular defect; mandibular reconstruction; FIBULAR OSTEOCUTANEOUS FLAP; OROMANDIBULAR RECONSTRUCTION; SOFT-TISSUE; OSTEOSEPTOCUTANEOUS FLAP; CHIMERIC FLAP; CANCER; HEAD; GRAFTS; BONE;

D O I：

10.1002/hed.20969

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background. The osteomyocutaneous peroneal artery-based combined (OPAC) flap is a refinement of fibula osteoseptocutaneous flap, with the inclusion of partial soleus muscle based on an independent myocutaneous perforator. Methods. Seventeen men underwent composite oromandibular reconstruction using an OPAC flap. Flaps were raised with 1 or 2 skin paddles and 2 to 3 bone segments In 8 cases, a portion of soleus muscle was included. Results. All flaps survived, but partial failure occurred in 2 cases (11.7%). At a mean follow-up of 25.3 +/- 19.4 months, 6 of 12 patients tolerated a regular diet, 5 a soft diet, and 1 a liquid diet. Speech was normal in 2 patients, intelligible in 4, and slurred in 6. Conclusion. Advantages of the OPAC flap include a single donor site, 1 pair of recipient vessels, versatile 3-dimensional inset, adequate soft tissue augmentation, and better aesthetic and functional outcomes. (C) 2008 Wiley Periodicals, Inc. Head Neck 31: 361-370, 2009

引用

页码：361 / 370

页数：10

共 27 条

[1] Free fibula osteoseptocutaneous-pedicled pectoralis major myocutaneous flap combination in reconstruction of extensive composite mandibular defects [J].

Chen, HC ;

Demirkan, F ;

Wei, FC ;

Cheng, SL ;

Cheng, MH ;

Chen, IH .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1999, 103 (03) :839-845

[2] Blood supply to osteocutaneous free fibula flap and peroneus longus muscle: Prospective anatomic study and clinical applications [J].

Cho, BC ;

Kim, SY ;

Park, JW ;

Baik, BS .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2001, 108 (07) :1963-1971

[3] Reconstruction of the mandible with osseous free flaps: A 10-year experience with 150 consecutive patients [J].

Cordeiro, PG ;

Disa, JJ ;

Hidalgo, DA ;

Hu, QY .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1999, 104 (05) :1314-1320

[4]

Daniel R K, 1978, Ann Plast Surg, V1, P346, DOI 10.1097/00000637-197807000-00002

[5]

DANIEL RK, 1978, PLAST RECONSTR SURG, V62, P775

[6] MANDIBULAR RECONSTRUCTION USING VASCULARIZED FIBULA [J].

FLEMMING, AFS ;

BROUGH, MD ;

EVANS, ND ;

GRANT, HR ;

HARRIS, M ;

JAMES, DR ;

LAWLOR, M ;

LAWS, IM .

BRITISH JOURNAL OF PLASTIC SURGERY, 1990, 43 (04) :403-409

[7] Mandibular reconstruction: Are two flaps better than one? [J].

Gabr, E ;

Kobayashi, MR ;

Salibian, AH ;

Armstrong, WB ;

Sundine, M ;

Calvert, JW ;

Evans, GRD .

ANNALS OF PLASTIC SURGERY, 2004, 52 (01) :31-35

[8]

HAO SP, 2004, OPERATIVE TECHNIQUES, V15, P239

[9] FIBULA FREE FLAP - A NEW METHOD OF MANDIBLE RECONSTRUCTION [J].

HIDALGO, DA .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1989, 84 (01) :71-79

[10] Chimeric flap in clinical use [J].

Huang, WC ;

Chen, HC ;

Wei, FC ;

Cheng, MH ;

Schnur, DP .

CLINICS IN PLASTIC SURGERY, 2003, 30 (03) :457-+

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