Immediate reconstruction of palatomaxillary defects by mandibular osteomuscular flap pedicled with temporalis and radial forearm free flap
10.3760/cma.j.issn.1001-2036.2012.04.003
- VernacularTitle:颞肌蒂下颌骨瓣联合前臂皮瓣一期修复腭上颌缺损
- Author:
Kai ZHANG
;
Tao XU
;
Jincheng XU
;
Tingyi GAO
;
Liang LIU
;
Xiaomiao LU
;
Baoquan LU
- Publication Type:Journal Article
- Keywords:
Radial forearm free flap;
Mandibular osteomuscular flap pedicled with temporalis;
Palatomaxillary defects;
Reconstruction
- From:
Chinese Journal of Microsurgery
2012;35(4):272-275,后插2
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effect of mandibular osteomuscular flap pedicled with temporalis and radial forearm free flap to repair palatomaxillary defects. Methods From March 2008 to March 2011,nine patients with palatomaxillary defects following malignant tumor ablation,were repaired with mandibular osteomuscular flap pedicled with temporalis and radial forearm free flap. According to Brown's classification for the maxillectomy defect,eight cases were type Ⅱ B and 1 case was type Ⅱ C. There were 6 males and 3 females with an average age of 57 years(range,34-68 years). Results All the 9 osteomuscular flaps and forearm flaps survived.The patients were followed up for 12 to 24 months with an average of 14 months. The patients acquired satisfactory appearance and complete functional restoration except 1 case of chondrosarcoma of recurrence was encountered 6 months after operation. Conclusions Palatomaxillary defects were reconstructed by mandibular osteomuscular flap pedicled with temporalis and radial forearm free flap immediately.It is easy to elevate,safe,and there were no donor site problems.This is an ideal method of repairing the palato maxillary defects.
