Clinical value of microvascular anastomotic devices in repairing oral carcinoma defects by anterolateral thigh flap
10.11659/jjssx.12E015185
- VernacularTitle:微血管吻合器在游离股前外侧皮瓣修复口腔癌术后软缺损中的应用
- Author:
Feiya ZHU
;
Lin CHEN
;
Huifeng PI
;
Kai WANG
- Publication Type:Journal Article
- Keywords:
anterolateral thigh flap;
vascular anastomosis;
microvascular anastomotic devices
- From:
Journal of Regional Anatomy and Operative Surgery
2016;25(5):335-338
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical value of microvascular anastomotic devices in free anterolateral thigh flap in the recon-struction of oral carcinoma defects.Methods From September 2013 to September 2014,52 patients with oral cancer were treated by func-tional neck cleaning,primary tumors resection,and free anterolateral thigh flap in the reconstruction.Of which 27 patients received free of femoral anterolateral flap to repair veins by using microsurgical line end to end anastomosis.And 25 pieces of microvascular anastomotic ad-vices were applied in 25 patients with oral carcinoma defects.The length of anastomosis time,flap survival rate,and complications were recor-ded.Results In 52 patients,microvascular anastomotic devices were applied in 25 veins with shorter anastomosis time,(6.3 ±1.9)min vs. (12.3 ±1.4)min,and the difference was significant(P =0.001).The flap survival rate and vascular anastomosis patency rate was 100%.No intra-and post-operative complications such as blood leak,stapling,excessive tension and tear,thrombosis in flap vein crisis associated with microvascular anastomotic devices were observed.Twenty-seven patients with 40 root vein received manual microsurgical anastomosis,2 of them showed vein crisis.Conclusion The microvascular anastomotic devices used in repairing the soft tissue defects by anterolateral thigh flap with venous anastomosis for patients of oral cancer after surgery has the advantage of higher quality,shorter time and less complications.
