CAJ | 학술논문

目的：探讨游离上臂外侧皮瓣（LAFF）在口腔颌面部恶性肿瘤根治术后软组织缺损修复重建中的应用价值。方法：自2012-01～2012-12，应用LAFF修复口腔颌面部肿瘤术后缺损的患者22例，观察记录皮瓣大小、制取时间、血管直径、吻合时间、组织瓣成活情况、手术修复成功率及术后效果，评价其优缺点。结果：皮瓣面积最大14 cm ×8 cm，最小6 cm ×4 cm。术后22例皮瓣均成活，未发生血管危象；并发症少，修复效果满意。结论：LAFF解剖位置恒定，制取简单，能满足常见口腔颌面部肿瘤术后软组织缺损修复。
목적：탐토유리상비외측피판（LAFF）재구강합면부악성종류근치술후연조직결손수복중건중적응용개치。방법：자2012-01～2012-12，응용LAFF수복구강합면부종류술후결손적환자22례，관찰기록피판대소、제취시간、혈관직경、문합시간、조직판성활정황、수술수복성공솔급술후효과，평개기우결점。결과：피판면적최대14 cm ×8 cm，최소6 cm ×4 cm。술후22례피판균성활，미발생혈관위상；병발증소，수복효과만의。결론：LAFF해부위치항정，제취간단，능만족상견구강합면부종류술후연조직결손수복。
Objective:To investigate the value of the lateral arm free flap (LAFF)in the repair of oral and maxillofacial defects af-ter resection of malignant tumor.Methods:22 cases received LAFF from January 2012 to December 2012 were studied.The flap size,preparation time,vessel diameter,anastomosis time,survival situation,success rate and postoperative results were observed. Results:The flap ranged from 14 cm ×8 cm to 6 cm ×4 cm.All flaps survived well without vascular crisis.Repair results were satis-factory.Conclusion:LAFF,with constant anatomy and simple preparation,can be applied in the repair of oral and maxillofacial de-fects after tumor resection.