Repair of maxillofacial soft tissue defect with superficial abdominal artery flap assisted by color doppler ultrasound
10.3760/cma.j.issn.1009-4598.2019.12.007
- VernacularTitle: 彩色多普勒超声辅助下腹部浅动脉供血皮瓣修复颌面部软组织缺损
- Author:
Kai ZHANG
1
;
Dong WANG
1
;
Tingyi GAO
1
;
Xiaoying DU
2
;
Xiaomin WANG
3
;
Rui HAN
1
;
Zhongbing HAN
4
Author Information
1. Department of Oral and Maxillofacial Surgery, First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China
2. Department of Ultrasound, First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China
3. Department of Otolaryngology, Head and Neck Surgery, First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China
4. Department of Orthopedics, First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China
- Publication Type:Clinical Trail
- Keywords:
Superficial inferior epigastric artery;
Superficial circumflex iliac artery;
Surgcial flap;
Color Doppler ultrasound
- From:
Chinese Journal of Plastic Surgery
2019;35(12):1200-1204
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of free lower abdominal perforator flaps assisted by color Doppler ultrasound in repairing oral maxillofacial soft tissue defects.
Methods:From June 2018 to March 2019, five patients with oral cancer underwent surgical treatment. There were 2 males and 3 females, age from 45-69 years old. At the same time, free lower abdominal flaps pedicled with superficial circumflex iliac artery or superficial inferior epigastric artery were used to repair oral maxillofacial soft tissue defects under preoperative color Doppler ultrasound evaluation and localization.
Results:All the five cases survived. Three cases were repaired with superficial inferior epigastric artery flap and two cases were repaired with superficial circumflex iliac artery flaps. These flaps ranged from 5 cm ×6 cm to 7 cm×9 cm. The follow-up period ranged from 3 to 12 months, with an average of 6 months. The flaps were soft, without obvious swelling, hairless growth, scarless contracture and limited mouth opening. All donor and recipient areas were healed in one stage.
Conclusions:The lower abdominal perforator flaps assisted by color Doppler ultrasound for repairing oral and maxillofacial soft tissue defects are characterized by accurate selection and localization of blood vessels, convenient extraction of skin flaps and minimal morbidity of donor site. It is a good method for repairing oral and maxillofacial soft tissue defects.
