Bilobed free peroneal artery perforator flap for repairing defects of maxillofacial malignant tumors
10.3760/cma.j.cn114453-20211231-00492
- VernacularTitle:游离腓动脉双叶穿支皮瓣修复颌面部恶性肿瘤术后缺损
- Author:
Yujie FENG
1
;
Jiang ZHU
;
Senbin WU
;
Xiaobo SHEN
;
Yue LIU
;
Minqi WU
;
Lei LI
;
Donghui SONG
Author Information
1. 南通大学附属医院口腔科，南通 226001
- Keywords:
Surgical flap;
Peroneal artery;
Double-leaf perforator flap;
Defect, repair
- From:
Chinese Journal of Plastic Surgery
2022;38(11):1254-1257
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical outcome of bilobed free peroneal artery perforator flap to repair the postoperative defect of maxillofacial malignant tumors.Methods:A total of 47 patients with maxillofacial malignant tumor with postoperative defects in the Affiliated Hospital of Nantong University from January 2018 to December 2021 were included. They were treated with bilobed free peroneal artery perforator skin flap. After the tumor was removed, the left leg was used as donor site. Based on the defect area of maxillofacial region, a bilobed perforator flap was designed and harvested. After surgery, the survival of the flap, recovery of voice, swallowing function, and flap appearance were evaluated. Speech and swallowing function were scored on a scale of 10.Results:A total of 47 patients were included, 27 males and 20 females, aged 43-79 years.There were 19 cases of buccal malignant tumors, 19 cases of tongue malignant tumors, 9 cases of gingival malignant tumors, 40 cases of squamous-cell carcinoma, 5 cases of adenoid cystic carcinoma and 2 cases of mucoepidermoid carcinoma. The area of maxillofacial defects ranges from (54-84) cm 2, the area of the flap ranges from (50-81) cm 2. During the operation, 17 cases were repaired and the mandibular was reconstructed with vascularized fibula flap. All 47 patients were followed up for an average of 12 months. All patients’ postoperative defects were effectively covered, the flaps survived, the appearance was satisfactory, the flap donor area is well restored, and the speech and swallowing functions were good. The scores of speech function and swallowing function were (8.15±1.35) and (7.43±1.19) respectively. Conclusions:The bilobed free peroneal artery perforator skin flap can be applied to repair the defects of maxillofacial malignant tumors. The flap appearance is acceptable, the recovery time is short. The defective skeletal tissue can be repaired at the same time. with concealed the donor site.
