Perioperative nursing for patients undergoing mandibular defect repair by forearm flap composite fibula flap
10.3969/j.issn.1671-8283.2014.01.016
- VernacularTitle:前臂皮瓣复合腓骨瓣修复下颌骨缺损术的围手术期护理
- Author:
Qin FENG
;
Xianhui WU
;
Liying QIN
- Publication Type:Journal Article
- Keywords:
forearm flap;
fibular flap;
mandibular defect;
nursing
- From:
Modern Clinical Nursing
2014;(1):49-52
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the perioperational nursing strategies for patients undergoing mandibular defect repair by forearm flap composite fibula flap.Methods From January 2009 to December 2012,9 patients with mandibular defect and soft tissue defects after resection of malignant tumors received fibula flap and forearm flap.Before operation,the patient received psychological education and the preparation of donor flap and receptor area together with oral preparation was performed.After operation,the vital signs and blood circulation in the flap were observed.Results The fibula and forearm flaps in 8 patients survived.The fibula flap in one patient survived while the forearm flap developed with vascular crisis.The success rate for the transplanted flap was 89.9%. Conclusion The perioperative nursing strategies are key to increase survival rate of flaps and the success rate of operation.
