[Preparation of vascularized forearm dermal fat flap and repairing of donor site].

Autor:	Sun L; Department of Stomatology，Luzhou People's Hospital，Luzhou，646000，China., Lan Y; Oral & Maxillofacial Reconstruction and Regeneration of Luzhou Key Laboratory，the Affiliated Stomatological Hospital of Southwest Medica University., Zhang L; Oral & Maxillofacial Reconstruction and Regeneration of Luzhou Key Laboratory，the Affiliated Stomatological Hospital of Southwest Medica University., Sun X; Departmentof Otolaryngology Head and Neck Surgery，Luzhou People's Hospital., Zhang C; Departmentof Otolaryngology Head and Neck Surgery，Luzhou People's Hospital., Wang C; Departmentof Otolaryngology Head and Neck Surgery，Luzhou People's Hospital., Liang Y; Departmentof Otolaryngology Head and Neck Surgery，Luzhou People's Hospital.
Jazyk:	čínština
Zdroj:	Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery [Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi] 2024 Oct; Vol. 38 (10), pp. 966-969.
DOI:	10.13201/j.issn.2096-7993.2024.10.016
Abstrakt:	Objective: This study prepared vascularized dermal fat flaps and introduced a local split-thickness skin graft from an in situ cutaneous area cutaneous area to manage forearm flap donor sites and evaluated the esthetic and functional outcomes post-operatively. From July 2020 to June 2023, 13 patients with soft tissue defects in Oral and Maxillary Area were repaired with tvascular forearm dermal fat flap. There were 8 males and 5 females, aged from 42-71 years. The flaps ranged from 8 cm×7 cm to 7 cm×5 cm in size. The donor site defects were covered by local split-thickness skin graft from the in situ skins. The color matching degree, surgical scars, ranges of wrist movement and hand sensations in donor forearms were assessed at 6 months after surgery. Results: The tvascular forearm dermal fat flaps for 15 cases all survived. All the local split-thickness skin grafts transplanted with this technique showed primary healing. The follow-up period for 6 months, Donor site exhibited suitabler color matching and there was not severe complications. Conclusion: The vascularized dermal fat flap provides an alternative to conventional forearm flap harvest, which enables primary donor site closure with reduced rates of delayed donor site healing. The vascularized dermal fat flap is a relatively reliable repair method for soft defects in Oral and Maxillary Area. Competing Interests: The authors of this article and the planning committee members and staff have no relevant financial relationships with commercial interests to disclose. (Copyright© by the Editorial Department of Journal of Clinical Otorhinolaryngology Head and Neck Surgery.)
Databáze:	MEDLINE
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