Free profunda femoral artery pedicled gracilis chimeric myocutaneous flap in the reconstruction of defect after buccal mucoca squamous cell carcinoma resection
10.3760/cma.j.issn.1009-4598.2017.04.002
- VernacularTitle: 游离股深动脉蒂股薄肌嵌合肌皮穿支皮瓣修复口颊癌术后缺损
- Author:
Dajiang SONG
1
;
Zan LI
;
Xiao ZHOU
;
Yixin ZHANG
;
Xiaowei PENG
;
Bo ZHOU
;
Chunliu LYU
;
Wen PENG
;
Xu WANG
;
Yan OU
Author Information
1. Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital and Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410008, China
- Publication Type:Clinical Trail
- Keywords:
Perforator flap;
Profundal femoral artery;
Chimeric flap;
Free flap transplantation;
Buccal mucosal squamous cell carcinomas
- From:
Chinese Journal of Plastic Surgery
2017;33(4):242-247
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application of free profunda femoral artery pedicled gracilis chimeric myocutaneous flap in the reconstruction of defect after radical resection of buccal mucoca squamous cell carcinoma.
Method:From January 2014 to May 2016, 12 cases with buccal mucoca squamous cell carcinoma underwent radical resection, leaving buccal mucoca defect which was reconstructed by free profunda femoral artery pedicled gracilis chimeric myocutaneous flap at the same stage. The buccal mucoca defect was reconstructed with skin paddle, the mouth floor cavity was filled with muscular flap.
Result:The Length of free profunda femoral artery pedicled gracilis chimeric myocutaneous flap was (9.0±0.3) cm, the width of flap was (4.5±0.3) cm, the thickness of flap was (1.8±0.4) cm.The length of pedicle was (7.4±0.6) cm.All 12 chimeric perforator flaps survived uneventfully, the defects at the donor sites were closed directly in all cases. All patients were followed up for 10-28 months (14.8 on average) with satisfied esthetic and functional results in flap reconstruction. The swallowing and speech function was satisfactory. No local recurrence happened. Only linear scar was left in the donor sites, the function of thighs was not affected.
Conclusions:The free profunda femoral artery pedicled gracilis chimeric myocutaneous flap is an ideal choice for reconstruction of the defect after radical resection of buccal mucoca squamous cell carcinoma.
