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	<span>横行切口技术在前臂皮瓣制备及供区修复中的临床应用</span>

doi:10.12439/kqhm.1005-4979.2025.03.007

摘要/Abstract

摘要：

目的：评估采用横行切口技术制备前臂皮瓣的方法对供区功能及外观的影响。方法：纳入 2020 年 7 月至 2023 年7 月在我院采用横行皮下隧道技术获取前臂皮瓣的 12 例因恶性肿瘤切除术致口腔颌面部软组织缺损的患者，术后观察前臂皮瓣成活情况。术后 6 个月，评估患者手部运动功能 ( 手指平伸、握拳、旋腕弯曲 ) 是否受限、手部感觉功能是否异常，以及通过自主调查问卷评估患者对前臂供区的外观满意度。结果：所有患者皮瓣存活率达 100%（12/12）。2 例患者术后 1 周手部出现麻木及刺痛感，3 个月后症状消失。术后 6 个月随访，所有患者手部均无运动和感觉功能障碍，患者对前臂供区的外观满意，自主调查问卷满意度得分平均 8.9 分。结论：横行切口制备前臂皮瓣，在保持皮瓣可靠性的同时，术后不会出现纵行长而大的瘢痕，并且手术创伤小，供区愈合周期短，是一种可靠的口腔颌面部软组织缺损修复方式。

关键词:

前臂皮瓣, 缺损, 修复, 横形切口

Abstract:

Objective: To evaluate the impact of the transverse incision technique for harvesting forearm flaps on donor-site function and appearance. Methods: A total of twelve patients with oral and maxillofacial soft tissue defects who underwent forearm flap harvesting using the transverse subcutaneous tunnel technique at our hospital between July 2020 and July 2023 were included. Postoperative flap survival was observed. Six months after surgery, hand motor function (finger extension, fist clenching, wrist rotation, and flexion) and sensory function were assessed for any limitations or abnormalities. Patient satisfaction with the forearm donor-site appearance was evaluated through a self-reported questionnaire. Results: The flap survival rate was 100% (12/12). Two patients experienced numbness and tingling in the hand one week postoperatively, but symptoms resolved within three months. At 6-month postoperative follow-up, none of the patients exhibited motor or sensory dysfunction in the hand. Patients reported high satisfaction with the donor-site appearance, with an average satisfaction score of 8.9 on the questionnaire. Conclusion: The transverse incision technique for forearm flap harvesting ensures reliable flap viability without leaving long, conspicuous longitudinal scars. This method minimizes surgical trauma, shortens donor-site healing time, and represents a dependable approach for reconstructing oral and maxillofacial soft tissue defects.

Key words:

forearm flap, defect, repair, transverse incision

中图分类号:

R782

孙晓强, 兰玉燕, 孙黎波, 张春锋, 王昌密, 梁云红.

横行切口技术在前臂皮瓣制备及供区修复中的临床应用[J]. 《口腔颌面外科杂志》, 2025, 35(3): 214-218.

SUN Xiaoqiang, LAN Yuyan, SUN Libo, ZHANG Chunfeng, WANG Changmi, LIANG Yunhong.

Clinical application of transverse incision technique in forearm flap harvesting and donor site reconstruction[J]. 《Journal of Oral and Maxillofacial Surgery》, 2025, 35(3): 214-218.

https://journal06.magtech.org.cn/Jweb_joms/CN/Y2025/V35/I3/214

参考文献

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[15] Moors JJE, Xu ZB, Xie KP, et al. Full-thickness skin graft versus split-thickness skin graft for radial forearm free flap donor site closure: Protocol for a systematic review and meta-analysis[J]. Syst Rev, 2024, 13(1): 74.

[16] 李萌, 杜洪明, 武和明, 等. 改良前臂皮瓣在头颈部缺损修复中的应用 [J]. 实用口腔医学杂志, 2020, 36(6): 915-918.

[17] Sağır M, Güven E, Cerci Ozkan A, et al. Reduction of the scar burden at the donor area of the radial forearm flap with the aid of an endoscopic pedicle preparation[J]. Ulus Travma Acil Cerrahi Derg, 2023, 29(11): 1296-1302.

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横行切口技术在前臂皮瓣制备及供区修复中的临床应用

Clinical application of transverse incision technique in forearm flap harvesting and donor site reconstruction

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横行切口技术在前臂皮瓣制备及供区修复中的临床应用

Clinical application of transverse incision technique in forearm flap harvesting and donor site reconstruction

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