Study of 60 Free Anterolateral Myocutaneous Flaps Donor-site Complications and Functional Assessment
|School||Central South University|
|Keywords||Anterolateral thigh muscle flap For the District Muscle Nerve|
Provide reference for the purpose of assessment for oral cancer combined radical soft tissue defects line free anterolateral thigh muscle flap, the flap donor site complications and functional recovery, for a reasonable choice and improved surgical plan for the District, to reduce donor site complications . Methods 2011 February 1 to May 1 in all patients review Xiangya Second Hospital of Oral and Maxillofacial Surgery outpatient and inpatient oral cancer combined radical soft tissue defects, and on the outside of I line free anterolateral The surgery side muscle flap in 61 patients. Access to clinical medical records of all patients admitted to hospital during the to exclude past history have the central diseases and osteoarthritis affect the cases of lower limb movement. Actually included in the statistics for the 60 cases. Assist in rehabilitation practitioner with a clinical experience is measured by evaluating the table plus the survey (see Appendix 1) the descriptive analysis functional recovery of patients for the District and related complications. Using SPSS17.0 statistical analysis of the data. Results All patients completed the evaluation form and questionnaire, follow-up time of 32 days -1 287 days, with an average of 319 days. 52 cases of males, 8 females. Age 25 years old -68 years old, average (51.75 ± 10.29) years. Flap prepared area 2cm x 4cm-6cm × 22cm, the muscle was cut out area of ??2cm x 2cm-6cm × 7cm. Flap to the success of the 59 cases, the success rate was 98.3% complete necrosis of the flaps postoperative venous crisis. For the District direct suture in 58 cases, the donor site two cases. The recent donor site complications include: six cases for the District of wound infection, accounting for 10% of the total number of cases, hematoma, wound dehiscence cases. No cases of muscle necrosis and skin graft necrosis. Long-term complications include: seven cases of ipsilateral quadriceps muscle weakness. Paresthesias for the District 50 patients (83.3%). For the District of hypoesthesia 10 cases, outside in the hypoesthesia 39 cases, the feeling disappears one cases, outside the under parts the hypoesthesia of 40 cases, feeling disappeared in 5 patients, no cases of hypersensitivity and perversion. Two cases for the District cold intolerance. 3 patients that seriously affect the appearance of the donor site scar. Free for hip and knee limited mobility, muscle hernia cases. Conclusion 1, the preparation free anterolateral thigh muscle flap postoperative patients for the District sensory disturbances located in the anterolateral thigh area, mainly in the lower area of ??the anterolateral thigh, its main reason for damage to the lateral femoral cutaneous nerve related. Preparation free anterolateral thigh muscle flap larger the area, the greater the probability of vastus lateralis flap position closer parts anterolateral thigh area sensory disturbances. 3, the size of the muscle flap preparation free anterolateral thigh muscle flap postoperative muscle strength was less affected. 4 the free anterolateral lateralis muscle flap donor site parts concealed easily accepted by patients.