Application of trifoliate flap design of radial forearm flap in reconstruction of defects after mouth floor cancer resection.
10.3760/cma.j.cn112152-20200617-00573
- VernacularTitle:三叶前臂皮瓣在口底癌术后缺损修复重建中的应用
- Author:
Liang ZUO
1
;
Hao TIAN
1
;
Jian Jun YU
1
;
Xiao ZHOU
1
;
Wei Lun HUANG
1
Author Information
1. The 2nd Department of Head and Neck Surgery, Department of Oncoplastic Surgery, Hunan Cancer Hospital & the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410013, China.
- Publication Type:Journal Article
- Keywords:
Mouth floor cancer;
Radial forearm flap;
Reconstruction;
Trifoliate flap
- MeSH:
Forearm/surgery*;
Humans;
Mouth Floor;
Neoplasms;
Reconstructive Surgical Procedures/methods*;
Skin Transplantation;
Surgical Flaps;
Treatment Outcome
- From:
Chinese Journal of Oncology
2022;44(2):192-196
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To evaluate the effect of trifoliate flap design of radial forearm flap in reconstruction of defects after mouth floor cancer resection. Methods: From June 2016 to December 2019, 12 patients with defect after resection of mouth floor cancer were treated with trifoliate flap design of radial forearm flap. All of these patients were T2 stage, included 9 well-differentiated squamous cell carcinoma (SCC) and 3 moderate differentiated SCC. The defect size ranged from 8.0 cm×6.0 cm to 5.0 cm×4.5 cm after resection of tumor and neck dissection. All defects were repaired with trifoliate flap design of radial forearm flap. The flap size ranged from 8.0 cm×2.0 cm to 4.0 cm×1.5 cm, the donor site was sutured directly on Z plasty. Results: All flaps completely survived well. Both the wound and the donor site were stage Ⅰ healing. With the average follow-up of 38.6 months, the swallowing and speech function were satisfactory. Conclusions: Trifoliate flap design of radial forearm flap can effectively repair the postoperative defect of mouth floor cancer, and the donor site can be directly sutured on Z plasty. This technique can avoid forearm scar caused by skin grafting and the formation of the second donor site.
