Application of soleus perforator flapfrom the lateral leg in repair of oral and maxil-lofacial defects
10.16571/j.cnki.1008-8199.2020.02.013
- VernacularTitle: 比目鱼肌肌皮穿支小腿外侧皮瓣在口腔颌面部缺损修复中的应用
- Author:
Zhao-gang LIU
1
;
Yuan-yin WANG
1
;
Xu-bing CHEN
2
Author Information
1. College of Stomatology, Anhui Medical University, Hefei 230032, Anhui, China
2. Department of Stomatology, Fuyang People's Hospital, Fuyang 236003, Anhui, China
- Publication Type:Journal Article
- Keywords:
soleus muscle perforator flap;
oral and maxillofacial defect;
repair and reconstruction;
oral function;
quality of life
- From:
Journal of Medical Postgraduates
2020;33(2):174-177
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveReconstruction of oral and maxillofacial defects following resection of oral and maxillofacial malignant tumors is required to restore the patient's appearance and oral function. The aim of this study was to evaluate the application and value ofsoleus perforator flap from the lateral leg in repair of oral and maxillofacial defects.MethodsIn this retrospective study, ten patients with oral and maxil-lofacial malignancies who were admitted to the Department of Oral and Maxillofacial Surgery in Fuyang People's Hospital during the period from May 2015 to March 2019 were enrolled. The effect of soleus perforator flap from the lateral leg was ana-lyzed.At 1 month and 3 months after surgery, the recovery of oral function and donor sites, quality of life and surgical satisfaction were followed.ResultsAllpatients underwent operation successfully without skin flap necrosis or serious complications.At 3 months after surgery,voice function and swallowing func-tion were level 3. The scar hyperplasia was 1 case,donor itching1 case and paresthesia or dysfunction 0 case.Compared with those at 1 month after surgery, the scores at 3 months after surgery were increased using the University of Washington Quality of Life (UW-QOL) questionnaire(P<0.05). At 1 month and 3 months after sur-gery,patient satisfaction rateswere 80.00% and 90.00%, respectively.ConclusionThe soleus perforator flap from the lateral leg isideal for repairing oral and maxillofacial defects. The postoperative recovery of oral functio-nand donor sites is goodwith high quality of life and surgical satisfaction.
