ISSN 1673-3770 CN 37-1437/R
山东大学耳鼻喉眼学报 ›› 2024, Vol. 38 ›› Issue (1): 87-91.doi: 10.6040/j.issn.1673-3770.0.2022.337
李宝妃,麦鲁丹·艾尼瓦尔,杨鑫,陈飞
LI Baofei, AINIWAER·Mailudan, YANG Xin, CHEN Fei
摘要： 有些头颈部恶性肿瘤手术造成的复杂缺损给医生带来挑战,股前外侧皮瓣、前臂皮瓣、游离腓骨皮瓣等都是常见的修复选择供区。近年来,股前外侧脂肪筋膜瓣在头颈部的修复重建中也得到较多的应用。论文收集近期的文献资料,综述股前外侧筋膜瓣的应用解剖特点以及对该皮瓣在头颈部各个亚单位的修复应用现状进行文献复习,总结该皮瓣使用的适应证、优缺点,以提高临床医生对该筋膜瓣的认识。
中图分类号:
| [1] 刘绍严, 鄢丹桂. 头颈肿瘤术后缺损修复的现状与展望[J]. 中国耳鼻咽喉颅底外科杂志, 2020, 26(3): 231-234. doi: 10.11798 /j.issn.1007-1520.202003001 [2] Tong XJ, Tang ZG, Shan ZF, et al. The anterolateral thigh flap for soft tissue reconstruction in patients with tongue squamous cell carcinoma[J]. World J Surg Oncol, 2016, 14(1): 213. doi: 10.1186/s12957-016-0972-8 [3] Kekatpure VD, Trivedi NP, Shetkar G, et al. Single perforator based anterolateral thigh flap for reconstruction of large composite defects of oral cavity[J]. Oral Oncol, 2011, 47(6): 517-21. doi: 10.1016/j.oraloncology.2011.03.023 [4] Shimizu F, Uehara M, Oatari M, et al. Three-dimensional visualization of the human face using DICOM data and its application to facial contouring surgery using free anterolateral thigh flap transfer[J]. J Plast Reconstr Aesthet Surg, 2016, 69(1): e1-e4. doi:10.1016/j.bjps.2015.07.025 [5] Loreti A, Abate O, Arelli F, et al. Reconstruction of hypopharyngeal defects with anterolateral thigh free flap: a single-center retrospective analysis [J]. Am J Otolaryngol, 2022, 43(5): 103542. doi:10.1016/j.amjoto.2022.103542 [6] Ranganath K, Jalisi SM, Naples JG, et al. Comparing outcomes of radial forearm free flaps and anterolateral thigh free flaps in oral cavity reconstruction: a systematic review and meta-analysis[J]. Oral Oncol, 2022, 135:106214. doi: 10.1016/j.oraloncology.2022.106214 [7] Hsiao HT, Leu YS, Liu CJ, et al. Radial forearm versus anterolateral thigh flap reconstruction after hemiglossectomy: functional assessment of swallowing and speech[J]. J Reconstr Microsurg, 2008, 24(2):85-88. doi: 10.1055/s-2008-1076097 [8] Agostini V, Dini M, Mori A, et al. Adipofascial anterolateral thigh free flap for tongue repair[J]. Br J Plast Surg, 2003, 56(6): 614-618. doi:10.1016/s0007-1226(03)00204-2 [9] 侯春林, 顾玉东. 皮瓣外科学[M]. 上海: 上海科学技术出版社, 2006 [10] Gholami M, Shaban B, Hejazi A, et al. Anatomical variations of anterolateral thigh flap: a fresh cadaver dissection study[J]. World J Plast Surg, 2021, 10(3): 18-24. doi:10.29252/wjps.10.3.18 [11] 张启旭, 乔群, 陈光宇, 等. 股前外侧脂肪筋膜瓣血管三维结构的研究及应用[J]. 中华整形外科杂志, 2002, 18(4): 200-203. doi: 10.3760/j.issn: 1009-4598.2002.04.002 ZHANG Qixu, QIAO Qun, CHEN Guangyu, et al. Three-dimensional observation of the vasculature in the anterolateral thigh adi pofascial flap and its clinical applications[J]. Chinese Journal of Plastic Surgery, 2002, 18(4): 200-203. doi: 10.3760/j.issn:1009-4598.2002.04.002 [12] Nakajima H, Minabe T, Imanishi N. Three-dimensional analysis and classification of arteries in the skin and subcutaneous adipofascial tissue by computer graphics imaging[J]. Plast Reconstr Surg, 1998, 102(3): 748-760. doi:10.1097/00006534-199809030-00020 [13] Agostini T, Agostini V. Adipofascial versus fasciocutaneous anterolateral thigh flap in oral cavity reconstruction. Focus on the vascular supply[J]. J Plast Reconstr Aesthet Surg, 2009, 62(12): e633-e634. doi:10.1016/j.bjps.2008.10.003 [14] Revenaugh PC, Haffey TM, Seth R, et al. Anterolateral thigh adipofascial flap in mucosal reconstruction[J]. JAMA Facial Plast Surg, 2014, 16(6): 395-399. doi:10.1001/jamafacial.2014.447 [15] Shaw RJ, Batstone MD, Blackburn TK, et al. The anterolateral thigh flap in head and neck reconstruction: “pearls and pitfalls”[J]. Br J Oral Maxillofac Surg, 2010, 48(1): 5-10. doi:10.1016/j.bjoms.2009.07.026 [16] Agostini T, Russo GL, Zhang YX, et al. Adipofascial anterolateral thigh flap safety: applications and complications[J]. Arch Plast Surg, 2013, 40(2): 91-96. doi:10.5999/aps.2013.40.2.91 [17] 陈健, 李暐. 带蒂组织瓣在头颈部肿瘤术后缺损修复重建中的应用研究进展[J]. 中国修复重建外科杂志, 2018, 32(3): 369-376. doi:10.7507/1002-1892.201710098 CHEN Jian, LI Wei. Research progress of pedicled flaps for defect repair and reconstruction after head and neck tumor resection[J]. China Industrial Economics, 2018, 32(3): 369-376. doi:10.7507/1002-1892.201710098 [18] 李亚楠. 上颌骨切除术后外科修复进展[J]. 山东大学耳鼻喉眼学报, 2021, 35(5): 113-117. doi:10.6040/j.issn.1673-3770.0.2020.326 LI Yanan. Advancements in surgical repair after maxillectomy[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(5): 113-117. doi:10.6040/j.issn.1673-3770.0.2020.326 [19] 白艳霞, 闫利英, 张少强, 等. 异种脱细胞真皮基质修复膜在组织缺损修复中的应用[J]. 临床耳鼻咽喉头颈外科杂志, 2014, 28(17): 1292-1295. doi: 10.13201/j.issn.1001-1781.2014.17.006 BAI Yanxia, YAN Liying, ZHANG Shaoqiang, et al. Application of xenogenic acellular dermal matrix repair membrane in tissue defect repair[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2014, 28(17): 1292-1295. doi: 10.13201/j.issn.1001-1781.2014.17.006 [20] Wang XC, Qiao Q, Liu ZF, et al. Free anterolateral thigh adipofascial flap for hemifacial atrophy[J]. Ann Plast Surg, 2005, 55(6): 617-622. doi:10.1097/01.sap.0000189659.76694.e2 [21] 滕利, 吴国平, 张智勇, 等. 股前外侧脂肪筋膜瓣游离移植矫治半侧颜面萎缩[J]. 口腔颌面外科杂志, 2005, 15(1): 60-62. doi:10.3969/j.issn.1005-4979.2005.01.018 TENG Li, WU Guoping, ZHANG Zhiyong, et al. Correction of hemifacial atrophy using free anterolateral thigh adipofascial flap[J]. China Journal of Oral and Maxillofacial Surgery, 2005, 15(1): 60-62. doi:10.3969/j.issn.1005-4979.2005.01.018 [22] 张明子, 李之瑾, 李海瑞, 等. 游离股前外侧筋膜脂肪瓣联合人脱细胞异体真皮重塑半侧颜面萎缩畸形[J]. 中华医学美学美容杂志, 2022, 28(1): 22-25. doi:10.3760/cma.j.issn.1671-0290.2022.01.006 ZHANG Mingzi, LI Zhijin, LI Hairui, et al. Facial depression correction by using free anterolateral thigh adipofascial flap and human acellular dermal matrix[J]. Chinese Journal of Medical Aesthetics and Cosmetology, 2022, 28(1): 22-25. doi:10.3760/cma.j.issn.1671-0290.2022.01.006 [23] 高寿松. 股前外侧脂肪筋膜瓣游离移植修复面部凹陷的临床研究[D]. 北京: 中国协和医科大学, 2007 [24] Teng L, Jin XL, Wu GP, et al. Correction of hemifacial atrophy using free anterolateral thigh adipofascial flap[J]. J Plast Reconstr Aesthet Surg, 2010, 63(7): 1110-1116. doi:10.1016/j.bjps.2009.06.009 [25] 李小东. 股前外侧组织瓣在口腔颌面部组织缺损修复中的应用[D]. 西安: 第四军医大学, 2010 [26] Hanasono MM, Skoracki RJ, Silva AK, et al. Adipofascial perforator flaps for “aesthetic” head and neck reconstruction[J]. Head Neck, 2011, 33(10): 1513-1519. doi:10.1002/hed.21637 [27] Ouf MO, Zayid T, Elbatawy A, et al. Aesthetic restoration of severe hemifacial atrophy with free adipofacial antero lateral thigh flap followed by autologous fat grafting; optimizing result and long-term outcome[J]. J Craniofac Surg, 2021, 32(5): e413-e418. doi:10.1097/SCS.0000000000007171 [28] 明华伟, 何芸, 张兴安, 等. 股前外侧脂肪筋膜瓣游离移植修复面颊部严重凹陷畸形[J]. 中国美容整形外科杂志, 2019, 30(11): 674-677 MING Huawei, HE Yun, ZHANG Xingan, et al. The application of free anterolateral thigh adipofascial flap in the repair of severe facial depressed deformity[J]. Chinese Journal of Aesthetic and Plastic Surgery, 2019, 30(11): 674-677 [29] Guelinckx PJ, Sinsel NK. Facial contour restoration in Barraquer-Simons syndrome using two free anterolateral thigh flaps[J]. Plast Reconstr Surg, 2000, 105(5): 1730-1736. doi:10.1097/00006534-200004050-00019 [30] Agostini T, Agostini V. Adipofascial anterolateral thigh free flap for hemifacial atrophy[J]. Acta Otorhinolaryngol Ital, 2009, 29(2): 103-107 [31] Agostini T, Agostini V. Further experience with adipofascial ALT flap for oral cavity reconstruction[J]. J Plast Reconstr Aesthet Surg, 2008, 61(10): 1164-1169. doi:10.1016/j.bjps.2008.03.038 [32] Kuo YR, Yeh MC, Shih HS, et al. Versatility of the anterolateral thigh flap with vascularized Fascia lata for reconstruction of complex soft-tissue defects: clinical experience and functional assessment of the donor site[J]. Plast Reconstr Surg, 2009, 124(1): 171-180. doi:10.1097/PRS.0b013e3181a80594 [33] Agostini T, Agostini V, Lazzeri D. Current roles of adipofascial anterolateral thigh flap in head and neck reconstructions[J]. Head Neck, 2011, 33(4): 595-596; authorreply 596-597. doi:10.1002/hed.21710 [34] 王友元. 颌下进路下颌骨劈开行舌鳞癌根治同期皮瓣修复的疗效观察[C] //中华口腔医学会口腔颌面-头颈肿瘤专业委员会.2019第一届全国口腔颌面-头颈肿瘤学术大会——聚合引领、协同发展论文汇编. 2019: 1. doi:10.26914/c.cnkihy.2019.081065 [35] 葛胜优. 股前外侧肌筋膜瓣与股前外侧皮瓣修复口腔癌组织缺损的疗效对比(附20例临床病例汇报)[D]. 青岛: 青岛大学, 2020 [36] Kekatpure VD, Hedne N, Chavre S, et al. Versatility of adipofascial anterolateral thigh flap for reconstruction of maxillary defects with infratemporal fossa extension[J]. Craniomaxillofac Trauma Reconstr, 2014, 7(3): 213-217. doi:10.1055/s-0034-1371973 [37] Coelho R, Ekberg T, Svensson M, et al. Reconstruction of late esophagus perforation after anterior cervical spine fusion with an adipofascial anterolateral thigh free flap: a case report[J]. Microsurgery, 2017, 37(6): 684-688. doi:10.1002/micr.30170 [38] Xu F, Deng D, Li BF, et al. Adipofascial anterolateral thigh free flap in hypopharyngeal and oropharyngeal reconstruction[J]. Microsurgery, 2022, 42(6): 586-592. doi:10.1002/micr.30863 [39] Driessen C, van Hout N, van Kuppenveld P, et al. Usefulness of a template-based anterolateral thigh flap for reconstruction of head and neck defects[J]. Microsurgery, 2020, 40(7): 776-782. doi:10.1002/micr.30637 |
| [1] | 邵永良,周鲲鹏,李广盛,张学梅,杨泽垠. 耳后径路取带蒂皮瓣修复外耳道皮肤缺损18例[J]. 山东大学耳鼻喉眼学报, 2023, 37(5): 1-5. |
| [2] | 王玉冰,郑跃彬,杨羿容,鄢斌成,彭顺林. 颈部转移性Merkel细胞癌1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(2): 51-55. |
| [3] | 张礼俊, 胥然, 罗继芳, 刘国旗, 何千, 李玮, 蒋振华. 头颈肿瘤游离皮瓣修复术后皮瓣坏死及皮瓣相关并发症影响因素分析[J]. 山东大学耳鼻喉眼学报, 2022, 36(4): 86-90. |
| [4] | 金鑫,施磊,金梦园. 脱细胞真皮基质覆盖鼻腔鼻窦良性肿瘤切除术后术腔的临床疗效观察[J]. 山东大学耳鼻喉眼学报, 2021, 35(5): 17-22. |
| [5] | 李亚楠，皇甫辉. 上颌骨切除术后外科修复进展[J]. 山东大学耳鼻喉眼学报, 2021, 35(5): 113-117. |
| [6] | 陈坤,李磊,孟国珍,杨军,侯东明. 婴幼儿先天性基底型脑膜脑膨出的诊断及鼻内镜手术治疗[J]. 山东大学耳鼻喉眼学报, 2021, 35(1): 77-81. |
| [7] | 谷少尉,侯元友,魏东敏,李文明,陈东彦,徐晨阳,雷大鹏,潘新良. 声门上喉癌舌瓣修补术后吞咽功能恢复[J]. 山东大学耳鼻喉眼学报, 2020, 34(5): 127-131. |
| [8] | 王智立,陈哲,林芳羽,柴永川,汪照炎. 修复治疗不同情形下腮腺区面神经损伤[J]. 山东大学耳鼻喉眼学报, 2020, 34(1): 15-19. |
| [9] | 岳建林,林云,姜震,李学新,孙睿杰,潘新良,刘大昱. 半侧舌根组织瓣在咽腔侧方缺损修复中的应用[J]. 山东大学耳鼻喉眼学报, 2020, 34(1): 63-66. |
| [10] | 许玲, 孙岩. 三叶因子家族在中耳呼吸型黏膜上皮的研究进展[J]. 山东大学耳鼻喉眼学报, 2020, 34(1): 93-98. |
| [11] | 岳文慧,李连贺. 咽后壁瓣在早期下咽后壁癌切除修复术中的临床应用[J]. 山东大学耳鼻喉眼学报, 2019, 33(6): 60-63. |
| [12] | 刘玉柱,高英恺,蒋贵云,裴皓旭,岳小雪. 经上颌窦径路修复眶下壁骨折伴眶内容脱垂及下直肌嵌顿[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 79-81. |
| [13] | 高俊潇,邱前辉. 黏膜瓣在鼻咽癌放疗后鼻内镜手术修复颅底组织缺损中的应用[J]. 山东大学耳鼻喉眼学报, 2019, 33(2): 46-50. |
| [14] | 李桂芬,易丽娜. 眶区组织缺损修复中眶周血的应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 80-83. |
| [15] | 刘斐斐,王锡温. 颞骨巨细胞修复性肉芽肿一例[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 108-109. |
|
||