Outcome of thoracoacromial artery perforator (TAAP) flap for reconstruction of defect after oral tumor radical resection
10.3760/cma.j.issn.1001-2036.2017.03.004
- VernacularTitle:游离胸肩峰动脉穿支皮瓣在口腔肿瘤术后缺损修复的临床效果
- Author:
Dajiang SONG
;
Zan LI
;
Xiao ZHOU
;
Yixin ZHANG
;
Xiaowei PENG
;
Bo ZHOU
;
Chunliu LYU
;
Wen PENG
;
Yan OU
- Keywords:
Thoracoacromial artery,perforator flap;
Buccal tumor;
Flap transplantation;
Microsurgical technique
- From:
Chinese Journal of Microsurgery
2017;40(3):222-224
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the outcome of free TAAP flap in the reconstruction of defect after oral tumor radical resection.Methods From June,2010 to April,2015,12 patients with oral tumor underwent radical resection,including 4 cases of gingival carcinoma,3 cases of tongue carcinoma and 5 case of buccal cancer.The cause ranged from 2 to 12 months.The radical resection left defects with size ranged from 4.5 cm×3.5 cm to 6.0 cm× 4.5 cm which were reconstructed by free TAAP flaps with size ranged from 7.0 cm×4.0 cm to 12.0 cm×8.0 cm.The length of TAAP flap was (6.5±0.6) cm.The width of flap was (4.3±0.5) cm.And the thickness of flap was (1.1±0.3)cm.The length of pedicle was(8.4±0.2) cm.All the arteries of TAAP were anastomosed with superior thyroid arteries,while the venae comitans were anastomosed with superior thyroid venae or internal jugular venae.Results The perforators existed consistently.All 12 flaps survived uneventfully.The donor sites were closed directly in all cases.All patients were followed up for 14-38 months with satisfied esthetic and functional results in reconstructed tongue.No local recurrence happened.The shoulder function was not affected.Conclusion The TAAP flap has consistent blood supply,good color match and texture,while leaving minimal morbidity at donor site,is an ideal choice for buccal tumor reconstruction.
