A Trilobed Radial Forearm Free Flap: A Novel Approach to Oral Cavity Reconstruction.

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2024-12-24 DOI:10.1002/hed.28046

Liang Zuo, Zheng Jiang, Jun Liu, Hao Tian, ShuiChao Gao, WeiLun Huang

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Abstract

Background: To evaluate the effectiveness of trilobed forearm flaps in repairing postoperative defects in T2 stage oral cancer patients, while minimizing the impact on the donor site.

Methods: 16 male patients with oral cancer were treated at two tertiary medical centers. Patients' demographic characteristics, Disabilities of the Arm, Shoulder, and Hand (DASH) score, and University of Washington Quality of Life Questionnaire (UW-QoL) were recorded.

Results: Postoperatively, all flaps survived with primary closure of donor site. One patient experienced neck wound edema, which healed after re-drainage. The quality-of-life evaluation shows a UW-QoL score indicating an excellent quality of life, with the mean score of 78.86 ± 4.26 and a mean DASH score of 23.29 ± 9.89, indicating good function preservation of the donor site.

Conclusion: The trilobed forearm flap technique significantly improves the repair range for oral cancer defects while maintaining donor site integrity and is recommended for wider application.

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前臂三叶游离皮瓣：口腔重建的新方法。

背景：评价前臂三叶皮瓣修复T2期口腔癌患者术后缺损的效果，同时尽量减少对供区影响。方法：16例男性口腔癌患者在两家三级医疗中心接受治疗。记录患者的人口统计学特征、臂、肩、手残疾（DASH）评分和华盛顿大学生活质量问卷（UW-QoL）。结果：术后皮瓣全部成活，供区初步闭合。1例患者颈部创面水肿，再引流后愈合。生活质量评价：UW-QoL评分为78.86±4.26分，平均DASH评分为23.29±9.89分，显示患者生活质量良好，供体功能保存良好。结论：前臂三叶皮瓣在保证供区完整性的前提下，显著提高了口腔癌缺损的修复范围，值得推广应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.