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目的:探讨股前外侧穿支血管皮瓣(ATF)游离移植修复全上颌骨切除后缺损(包括面部皮肤的缺损)的可行性及修复效果。方法:回顾性分析72例行上颌骨全部切除患者的临床资料,其中肿瘤侵犯面部皮肤5例,肿瘤侵犯眶下壁5例。全部患者均用ATFⅠ期修复。结果:除1例患者皮瓣坏死行二次游离皮瓣修复成功,其余患者均一次性移植成功。所有患者对外形效果满意。恶性肿瘤70例。受区与供区总并发症发生率为6.9%。结论:对于全上颌骨缺损后的大面积缺损修复,特别是复杂的合并面部皮肤缺损或包括眶底缺损的患者,是游离股前外侧皮瓣修复的很好的适应证,且并发症小,安全性高,外观满意,值得推广。
Objective: To investigate the feasibility and effect of free radical graft of lateral femoral artery flaps (ATF) after total maxillary excision (including facial skin defects). Methods: The clinical data of 72 patients who underwent total excision of the maxilla were retrospectively analyzed. Among them, 5 cases were invaded by the tumor and 5 cases were infiltrated by the tumor. All patients were repaired with ATF Ⅰ. Results: All the patients were successfully transplanted successfully except one case of skin flap necrosis with two free flaps repaired successfully. All patients satisfied with the shape effect. Malignant tumors in 70 cases. The total complication rate of affected area and donor area was 6.9%. CONCLUSIONS: This is a good indication for free radical anterolateral skin flap repair for large defect repair after total maxillary defect, especially complex facial skin defects or patients with orbital floor defects, with minimal complications, High security, the appearance of satisfaction, it is worth promoting.