內側腓腸動脈穿通枝游離皮瓣於口腔癌重建之應用一病例系列報告

內側腓腸動脈穿通枝游離皮瓣薄、柔韌、毛髮少、易彎曲、易塑型，與橈側前臂游離皮瓣有相似的特性，但供給部位的術後併發症較低。該皮瓣於2001年由Cavadas首次描述，為對用於重建下肢的內側腓腸肌皮瓣的改進，取自小腿後側的中間部分，術後傷口可以達到初級閉合，從而獲得良好的美觀效果。該皮瓣有多種用途，如局部皮瓣或游離皮瓣，特別適用於癌症術後缺損的重建。本病例系列報告六位口腔癌患者，腫瘤切除後，應用內側腓腸動脈穿通枝游離皮瓣進行重建，分別應用於右下牙齦、右頰黏膜、右舌、右口角的缺損，術後預後佳，皮瓣供給部位初級閉合，美觀效果良好。

關鍵字

口腔癌；內側腓腸動脈；游離皮瓣；頭頸部重建與應用

並列摘要

Medial sural artery perforator flap is a thin, pliable and hairless flap which has similar property with radial forearm free flap but has lower donor site morbidity. The flap was first described by Cavadas on 2001 as a refinement of the medial gastrocnemius flap for reconstruction of lower extremities. It is raised from medial part of posterior calf, and the wound can be closed primarily, thus resulting in a better postoperative cosmetic outcome. The flap can be used in different fashions, for example, as local flap or free flap, especially for reconstruction of defect after cancer surgery. This case series reported six cases of oral cancer. After discussing with the patients, we decided to use medial sural artery perforator flap instead of radial forearm free flap for reconstruction. Following the operation of tumor wide excision, the flap was raised for right lower gum, right buccal mucosa, right tongue and right mouth angle defect reconstruction. Postoperative outcome was favorable. Donor site was primary closed and the postoperative cosmetic outcome was satisfying.

並列關鍵字

Oral cancer ； Medial sural artery ； Free flap ； Head and neck reconstruction

國際替代計量

內側腓腸動脈穿通枝游離皮瓣於口腔癌重建之應用一病例系列報告

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