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Anterolateral Thigh Perforator Free Flap Transplantation for Repairing of Soft Tissue Defects in Oral & Maxillofacial Region

Author: WangYing
Tutor: LiuJianHua
School: Zhejiang University
Course: Oral and Maxillofacial Surgery
Keywords: Oral and maxillofacial Anterolateral thigh flap Microsurgery Function reconstruction Sequence of treatment
CLC: R782
Type: Master's thesis
Year: 2011
Downloads: 41
Quote: 0
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Abstract


Objective: To observe the anterolateral thigh flap repair repair the effects of oral and maxillofacial tumor resection , and summarize the clinical experience . Methods : Five patients take general anesthesia and endotracheal intubation . The two sections doctors interspersed surgery : Oral and Maxillofacial Surgery doctor responsible for neck dissection , the recipient vessel ready , and tumor resection ; hand surgery group of doctors anterolateral thigh flap preparation, separation , the donor site is closed . The extraoral group of doctors flaps bit stitched , hand surgery group under a microscope the doctors anastomosis the flap vascular and recipient vessel . By extraoral group of doctors to close the mouth and neck wounds . Skin incision subcutaneous , gradually cut separation of the subcutaneous tissue and deep fascia surgery , preoperative planning . Encountered major perforating branches to ensure that major perforating branches from damage ; deep fascia , muscle separation along wearing vessel tracking until you get the desired length and diameter of the vascular pedicle for flap sutured wounds . Flap transplantation , interrupted suture the wound edge flap and subject areas , under the microscope with 8-0 slide wire vascular anastomosis . Healing observed in all patients , the observed flap necrosis , donor site wounds whether split . Postoperative obtain the required information through the means of access to clinical data , telephone follow-up , the patients were preoperative and postoperative contrast photos . Results: All patients transplanted flap survival , arteries appear within 20 hours of the flap of the patients crisis , emergency surgical exploration , discovery artery anastomosis thrombosis , then switch to the forearm flap to repair the defect , the flap survival . Surgery and subject area are the stage Ⅰ healing , the appearance and function of patients subject area , good for the healing of the area , lower extremity weight-bearing , walking normal . Conclusion : The anterolateral thigh perforating branches soft and small flap donor site damage repair satisfactory results favor the appearance and function of the oral and maxillofacial recovery , is an ideal way to repair the soft tissues of the oral and maxillofacial defects . But the surgical procedure is more complicated , more difficult than the forearm flap , the surgeon technical proficiency requirements .

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CLC: > Medicine, health > Oral Sciences > Oral and maxillofacial surgery
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