摘要：

目的： 探讨部分去皮化前臂皮瓣修复面颊部恶性肿瘤切除后缺损的临床效果。方法： 选取2021年6月至2023年6月期间在我科接受部分去皮化前臂皮瓣修复面颊部恶性肿瘤切除术后缺损的患者12例，术后随访6~24个月，评价术后面部外形、张闭口功能及皮瓣成活状况、色泽、质地等。结果： 12例患者术后皮瓣全部成活，面部外形基本对称，张闭口功能无受限，皮瓣色泽与周围组织相近、质地柔软，随访期间未见肿瘤复发或向远处转移。结论： 部分去皮化前臂皮瓣用于修复面颊部恶性肿瘤切除后的缺损，具有良好的修复效果。

关键词: 去皮化皮瓣, 恶性肿瘤, 前臂皮瓣, 缺损修复

Abstract:

Objective: To investigate the clinical outcomes of the partially deepithelialized forearm flap for reconstructing defects following resection of cheek malignancies. Methods: A total of 12 patients who underwent reconstruction with a partially deepithelialized forearm flap for post-resection defects of cheek malignancies in our department between June 2021 and June 2023 were selected. Postoperative follow-up ranged from 6 to 24 months. Evaluations included facial contour, mouth opening and closing function, as well as flap survival, color, and texture. Results: All 12 flaps survived completely. Facial symmetry was satisfactory, and mouth opening and closing function was unimpaired. The flaps exhibited good color match with the surrounding tissues and a soft texture. No tumor recurrence or distant metastasis was observed during the follow-up period. Conclusion: The application of the partially deepithelialized forearm flap for reconstructing defects after cheek malignancy resection achieves favorable clinical outcomes.

Key words: deepithelialized flap, malignant tumor, forearm flap, defect repair

中图分类号: 

• R782

• R739.8