Application of thin superficial inferior epigastric artery flap in repairing soft tissue defect after buccal cancer
10.3760/cma.j.cn114453-20200107-00006
- VernacularTitle:薄型腹壁浅动脉皮瓣在修复颊癌术后软组织缺损中的应用
- Author:
Tingyi GAO
1
;
Kai ZHANG
;
Dong WANG
;
Rui HAN
;
Yongfeng CHEN
;
Tao XU
;
Zhigang WU
;
Shengkai LIAO
;
Zhenfei GUO
Author Information
1. 蚌埠医学院第一附属医院口腔颌面外科 233004
- Keywords:
Superficial inferior epigastric artery;
Surgical flap;
Buccal cancer
- From:
Chinese Journal of Plastic Surgery
2020;36(7):784-787
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of thin superficial inferior epigastric artery flaps in repairing soft tissue defects after buccal cancer surgery.Methods:From January 2018 to October 2019, 6 patients with buccal cancer who underwent surgery were constructed with thin superficial inferior epigastric artery flaps, including 2 males and 4 females, aged 43 to 68 years, with an average of 61.5 years. Doppler ultrasound was utilized of all patients to design flap preoperatively . According to the size of the affected area defect, according to the shape and direction of the blood vessels, a thin superficial inferior epigastric artery flap was elevated above the Scarpas fascia layer and transferred to repair soft tissue defects after buccal cancer surgery. The survival and functional recovery of the flap were observed.Results:All 6 flaps survived. The superficial inferior epigastric artery flaps ranged from 5.0 cm×7.0 cm to 7.0 cm×9.0 cm. The thickness of the flaps ranged from 0.5 cm to 1.3 cm, and the average thickness was 0.8 cm. The pedicle length is 6.0-9.0 cm.Four of them anastomosed to the superficial inferior epigastric veins and companion vein, 2 cases only anastomized superficial inferior epigastric veins . The follow-up period ranged from 3 to 12 months, with an average of 10 months. The cheek shape was good, the mouth opening was normal, there was no obvious bloating, and no secondary surgery was required. Linear scars were left on the donor site, with concealed location and no impairment of abdominal wall function.Conclusions:The donor site of the thin superficial inferior epigastric artery flap is small, the scar is concealed, the cheek is not bloated, and the opening degree of mouth is satisfactory. It is a good choice for reconstructing postoperative defect of cheek cancer.
