The Brachioradialis Forearm Flap for Intraoral Reconstruction

撓前臂皮瓣對於口內重建可提供介於柔軟服貼的筋膜皮瓣，以及佔體積的肌皮瓣之間的另一種選擇。自1995年四月至1996年四月間，本院有十位口腔鱗狀上皮細胞癌病人接受此種複合皮瓣手術，結果良好。根據肌肉部份放置的位置，我們將此皮瓣之應用分為三類：第一類，用於填充易積液的凹處；第二類，提供頸部重要構造的保護；第三類，輔助唇部重建。我們亦比較回顧文獻上對此皮瓣血循供應之研究。於本系列10位病例中有4名之主要供應血管起源於臂動脈或其分支處，因而無法包含於皮瓣中，結果近端的肌肉必須部份修去。此種血循供應之不穩定，顯示肱撓肌仍是Mathes氏及Nahai氏之第四型而非第五型的肌肉。

關鍵字

無資料

並列摘要

The brachioradialis forearm flap provides an alternative of intraoral reconstruction between a thin, pliable fasciocutaneous flap and a bulky musculocutaneous flap. From April, 1995 to April, 1996, ten cases of advanced oral squamous cell carcinoma were reconstructed by this compound flap with good results. According to the position of the muscular portion, the clinical applications can be classified into three types: type Ⅰ, for tamponade of dead spaces; type Ⅱ, providing neck protection; and type Ⅲ, in lip reconstruction. The vascular anatomy of brachioradialis muscle was also noted. In 4 of our 10 cases, the largest perforators arose from the brachial artery or the bifurcation, and could not be included in the radial forearm flap. The proximal segment of muscle must be trimmed due to poor perfusion. The unreliability implies the brachioradialis may be a type Ⅳ rather than type Ⅴ muscle according to Mathes and Nahai's classification.

並列關鍵字

brachioradialis ； forearm flap ； recurrent radial artery ； oral cancer ； intraoral reconstruction

國際替代計量

The Brachioradialis Forearm Flap for Intraoral Reconstruction

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