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目的观察应用以旋股外侧动脉降支为血管蒂的股前外侧皮瓣游离移植修复口腔颌面部软组织缺损的临床效果。方法对19例以旋股外侧动脉降支发出的皮支为血管蒂游离移植股前外侧皮瓣修复口腔颌面部软组织缺损,切取皮瓣的范围为5 cm×10 cm~7 cm×14 cm。结果 19例术后股前外侧皮瓣全部成活,一期修复后外观、功能均达到优良,供区恢复良好。结论以旋股外侧动脉降支发出的皮支为血管蒂的股前外侧皮瓣是一种血供可靠、切取范围大、部位隐蔽、可带肌肉的皮瓣,是一种修复口腔颌面部软组织缺损可靠的手术方法。
Objective To observe the clinical effect of free transplantation of the anterolateral femoral skin flap pedicled with the descending branch of the lateral femoral circumflex artery to repair the soft tissue defect of oral maxillofacial region. Methods Twenty - nine cases of soft tissue defects of the oral and maxillofacial region were repaired with the anterolateral skin flap pedicled with the free pedicle of the pedicel pedicel. The skin flap was excised from 5 cm × 10 cm to 7 cm × 14 cm . Results All the 19 cases had anterolateral thigh flap survived. The appearance and function of the anterior prostheses recovered well and the donor area recovered well. CONCLUSIONS: The anterolateral flaps pedicled with descending branches of the lateral femoral circumflex artery are a type of flap with reliable blood supply, wide range of incision and subtle concealed parts with muscle flap. It is a method of repairing oral and maxillofacial region Reliable surgical methods for soft tissue defects.