颞浅动静脉作为受区血管在游离皮瓣修复口腔颌面部缺损中的临床应用
|
摘要
目的:观察游离皮瓣修复口腔颌面部缺损时颞浅动、静脉作为受区血管的临床应用效果。方法:回顾分析2015-08～2018-10期间12例采用颞浅动静脉作为受区血管的病例资料,结合相关文献进行分析讨论。结果:12例皮瓣完全成活,伤口愈合良好,术后无严重并发症发生。结论:颞浅动静脉用作游离皮瓣移植的受区血管是安全可靠的。
Objective: To study the effects of superficial temporal artery and vein as recipient vessels for free flap in the reconstruction of oral and maxillofacial defects. Methods: 12 cases with oral and maxillofacial defects were treated by free flap with temporal superficial vessels as the recipient vessels between August 2015 and October 2018, the effects were observed, and the relevant literature was reviwed. Results: All 12 free flaps were successed, all wounds were well healed, no serious complications occurred after operation. Conclusion: It is safe and reliable to use the superficial temporal vessels as recipient vessels for free flap transplantation.
Objective: To study the effects of superficial temporal artery and vein as recipient vessels for free flap in the reconstruction of oral and maxillofacial defects. Methods: 12 cases with oral and maxillofacial defects were treated by free flap with temporal superficial vessels as the recipient vessels between August 2015 and October 2018, the effects were observed, and the relevant literature was reviwed. Results: All 12 free flaps were successed, all wounds were well healed, no serious complications occurred after operation. Conclusion: It is safe and reliable to use the superficial temporal vessels as recipient vessels for free flap transplantation.
引文
[1] 徐立群,张陈平,张志愿,等.血管化游离组织瓣在口腔颌面-头颈部缺损修复中的应用[J].实用肿瘤杂志,2015,30(1):18-21.
[2] Nahabedian MY,Singh N,Deune EG,et al.Recipient vessel analysis for microvascular reconstruction of the head and neck[J].Ann Plast Surg,2004,52(2):148-155.
[3] 中华口腔医学会口腔颌面外科专业委员会肿瘤学组.口腔颌面部恶性肿瘤治疗指南[J].中国口腔颌面外科杂志,2010,8(2):98-106.
[4] Head C,Sercarz JA,Abemayor E,et al.Microvascular reconstruction after previous neck dissection[J].Arch Otolaryngol Head Neck Surg,2002,128(3):328-331.
[5] Urken ML,Higgins KM,Lee B,et al.Internal mammary artery and vein:Recipient vessels for free tissue transfer to the head and neck in the vessel- depleted neck[J].Head Neck,2006,28(9):797-801.
[6] Jacobson AS,Eloy JA,Park E,et al.Vessel- depleted neck:Techniques for achieving microvascular reconstruction[J].Head Neck,2008,30(2):201-207.
[7] Stock AL,Collins HP,Davidson TM.Anatomy of the superficial temporal artery[J].Head Neck Surg,1980,2(6):466-469.
[8] Chen TH,Chen CH,Shyu JF,et al.Distribution of the superficial temporal artery in the Chinese adult[J].Plast Reconstr Surg,1999,104(5):1276-1279.
[9] Doscher M,Charafeddine AH,Schiff BA,et al.Superficial temporal artery and vein as recipient vessels for scalp and facial reconstruction:Radiographic support for underused vessels[J].J Reconstr Microsurg,2015,31(4):249-253.
[10] Li J,Shen Y,Wang L,et al.Superficial temporal versus cervical recipient vessels in maxillary and midface free vascularized tissue reconstruction:Our 14- year experience[J].J Oral Maxillofac Surg,2018,76(8):1786-1793.
[11] Shen Y,Li J,Ow A,et al.Acceptable clinical outcomes and recommended reconstructive strategies for secondary maxillary reconstruction with vascularized fibula osteomyocutaneous flap:A retrospective analysis[J].J Plast Reconstr Aesthet Surg,2017,70(3):341-351.
[12] Halvorson EG,Cordeiro PG,Disa JJ,et al.Superficial temporal recipient vessels in microvascular orbit and scalp reconstruction of oncologic defects[J].J Reconstr Microsurg,2009,25(6):383-387.
[13] 韩冬,陈传俊.游离皮瓣微小血管两步打结缝合法的临床运用[J].实用口腔医学杂志,2016,32(5):727-729.
[14] Yazar S.Selection of recipient vessels in microsurgical free tissue reconstruction of head and neck defects[J].Microsurgery,2007,27(7):588-594.
[15] Imanishi N,Nakajima H,Minabe T,et al.Venous drainage architecture of the temporal and parietal regions:Anatomy of the superficial temporal artery and vein[J].Plast Reconstr Surg,2002,109(7):2197-2203.
[16] 毛驰,俞光岩,彭歆,等.颞浅动脉及静脉作为头颈部游离瓣移植受区血管的可靠性探讨[J].中华口腔医学杂志,2009,44(2):94-96.
[17] Shimizu F,Lin MP,Ellabban M,et al.Superficial temporal vessels as a reserve recipient site for microvascular head and neck reconstruction in vessel- depleted neck[J].Ann Plast Surg,2009,62(2):134-138.
[2] Nahabedian MY,Singh N,Deune EG,et al.Recipient vessel analysis for microvascular reconstruction of the head and neck[J].Ann Plast Surg,2004,52(2):148-155.
[3] 中华口腔医学会口腔颌面外科专业委员会肿瘤学组.口腔颌面部恶性肿瘤治疗指南[J].中国口腔颌面外科杂志,2010,8(2):98-106.
[4] Head C,Sercarz JA,Abemayor E,et al.Microvascular reconstruction after previous neck dissection[J].Arch Otolaryngol Head Neck Surg,2002,128(3):328-331.
[5] Urken ML,Higgins KM,Lee B,et al.Internal mammary artery and vein:Recipient vessels for free tissue transfer to the head and neck in the vessel- depleted neck[J].Head Neck,2006,28(9):797-801.
[6] Jacobson AS,Eloy JA,Park E,et al.Vessel- depleted neck:Techniques for achieving microvascular reconstruction[J].Head Neck,2008,30(2):201-207.
[7] Stock AL,Collins HP,Davidson TM.Anatomy of the superficial temporal artery[J].Head Neck Surg,1980,2(6):466-469.
[8] Chen TH,Chen CH,Shyu JF,et al.Distribution of the superficial temporal artery in the Chinese adult[J].Plast Reconstr Surg,1999,104(5):1276-1279.
[9] Doscher M,Charafeddine AH,Schiff BA,et al.Superficial temporal artery and vein as recipient vessels for scalp and facial reconstruction:Radiographic support for underused vessels[J].J Reconstr Microsurg,2015,31(4):249-253.
[10] Li J,Shen Y,Wang L,et al.Superficial temporal versus cervical recipient vessels in maxillary and midface free vascularized tissue reconstruction:Our 14- year experience[J].J Oral Maxillofac Surg,2018,76(8):1786-1793.
[11] Shen Y,Li J,Ow A,et al.Acceptable clinical outcomes and recommended reconstructive strategies for secondary maxillary reconstruction with vascularized fibula osteomyocutaneous flap:A retrospective analysis[J].J Plast Reconstr Aesthet Surg,2017,70(3):341-351.
[12] Halvorson EG,Cordeiro PG,Disa JJ,et al.Superficial temporal recipient vessels in microvascular orbit and scalp reconstruction of oncologic defects[J].J Reconstr Microsurg,2009,25(6):383-387.
[13] 韩冬,陈传俊.游离皮瓣微小血管两步打结缝合法的临床运用[J].实用口腔医学杂志,2016,32(5):727-729.
[14] Yazar S.Selection of recipient vessels in microsurgical free tissue reconstruction of head and neck defects[J].Microsurgery,2007,27(7):588-594.
[15] Imanishi N,Nakajima H,Minabe T,et al.Venous drainage architecture of the temporal and parietal regions:Anatomy of the superficial temporal artery and vein[J].Plast Reconstr Surg,2002,109(7):2197-2203.
[16] 毛驰,俞光岩,彭歆,等.颞浅动脉及静脉作为头颈部游离瓣移植受区血管的可靠性探讨[J].中华口腔医学杂志,2009,44(2):94-96.
[17] Shimizu F,Lin MP,Ellabban M,et al.Superficial temporal vessels as a reserve recipient site for microvascular head and neck reconstruction in vessel- depleted neck[J].Ann Plast Surg,2009,62(2):134-138.