METHODS: Between April 2016 and April 2021, five patients with oral squamous cell carcinoma underwent mass resection combined with RFFF reconstruction. After RFFF harvesting, donor-site defects were restored by proportional local FTSG.
RESULTS: The donor-site defects ranged in size from 24 to 41.25 cm2, with a mean of 33.05 cm2. Good or acceptable esthetic outcomes were obtained in all five patients. There was no dehiscence, skin necrosis, wound infection, or severe scarring at the graft site through the end of the postoperative follow-up period, and no patient had any specific functional complaint.
CONCLUSIONS: The proportional local FTSG showed promising results for skin coverage of the donor-site defect of the RFFF. This technique could decrease the need for skin grafts from other sites.
方法:2016年4月至2021年4月,5例口腔鳞状细胞癌患者接受了肿块切除联合RFFF重建。RFFF收获后,供体部位缺损通过局部比例FTSG修复.
结果:供体部位缺损的大小范围为24至41.25cm2,平均值为33.05cm2。所有五名患者均获得了良好或可接受的美学结果。没有开裂,皮肤坏死,伤口感染,或在术后随访期结束时在移植部位形成严重的疤痕,并且没有患者有任何特定的功能性投诉。
结论:比例局部FTSG对RFFF供体部位缺损的皮肤覆盖显示出良好的结果。该技术可以减少对来自其他部位的皮肤移植物的需要。