Volume 19 Issue 6
Jun.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(6): 936-939,978
XU Cao, WANG Shu-qin, HU Kai, SONG Pei-jun, WU Zhi-gang, CHEN Mo, SUN Yue, LI Jian-cheng. Application of 3D-CTA in peroneal artery perforator flap for repairing postoperative soft tissue defect of tongue carcinoma[J]. Chinese Journal of General Practice, 2021, 19(6): 936-939,978. doi: 10.16766/j.cnki.issn.1674-4152.001954
Citation: XU Cao, WANG Shu-qin, HU Kai, SONG Pei-jun, WU Zhi-gang, CHEN Mo, SUN Yue, LI Jian-cheng. Application of 3D-CTA in peroneal artery perforator flap for repairing postoperative soft tissue defect of tongue carcinoma[J]. Chinese Journal of General Practice, 2021, 19(6): 936-939,978. doi: 10.16766/j.cnki.issn.1674-4152.001954
shu

Application of 3D-CTA in peroneal artery perforator flap for repairing postoperative soft tissue defect of tongue carcinoma

doi: 10.16766/j.cnki.issn.1674-4152.001954
  • 1.

    Department of Stomatology, Bengbu Medical College, Bengbu, Anhui 233000, China

Funds:

 KJ2019A0374

  • Received Date: 2020-12-25
    Available Online: 2022-02-16
    Abstract
  •   Objective  With the development of imaging technology, the visual perforator flap is becoming more and more mature. By analyzing the clinical application effect of 3D-CTA in the peroneal perforator flap to repair the soft tissue defect after tongue cancer surgery, it provides the basis for the design and clinical application of the peroneal perforator flap.  Methods  Total 12 patients with tongue squamous cell carcinoma (8 males and 4 females, aged 36-73 years) were selected from the Department of Oral and Maxillofacial Surgery, the First Affiliated Hospital of Bengbu Medical College from January 2019 to June 2020. The peroneal artery perforators were measured according to the CTA results after three-dimensional reconstruction before operation, and the perforators that met the transplantation conditions were selected. According to the preoperative data, the peroneal artery perforator flap was used to repair the soft tissue defect of the tongue. Follow-up was conducted on time and regularly after the operation to evaluate the functional recovery of patients at the operative and donor sites by observing whether there was tumor recurrence, metastasis, and the calf motor function at the donor site.  Results  The peroneal artery perforator flaps of 12 patients were successfully located and operated. All the grafted perforator flaps survived. One patient's skin flap oozed blood after operation, and recovered well after emergency investigation and hemostasis. The average preparation time of the grafted skin flap was 47 min, and the average length of the vessel pedicle was 6.2 cm. After 9 months, 12 patients with open mouth Ⅲ degrees, chewing and speech basic returned to normal. Twelve months after the operation, the lower leg of 12 patients in the lower limb donor area recovered well without obvious movement discomfort.  Conclusion  Preoperative 3D-CTA can accurately provide the anatomical characteristics of peroneal artery perforator, provide good imaging support for the preparation of peroneal artery perforator flap, and achieve good results in the application of peroneal artery perforator flap to repair postoperative soft tissue defects of tongue cancer.

     

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