Clinical study on donor-site complications following iliac crest composite free flap transfer

Abstract

目的：報道切取旋髂深動脈（ＤＣＩＡ）髂骨復合瓣移植供區并發癥前瞻性臨床研究結果。方法：３８例下頜骨缺損患者共進行４０例ＤＣＩＡ髂骨復合瓣移植，對供區并發癥及感覺、運動功能障礙進行手術前后連續追蹤評價。結果：供區疼痛，感覺與步態障礙為術后普遍而暫時的并發癥；傷口遷延不愈、腹疝、股神經麻痹等并發癥發生率較低；供區長期痛可能與神經嵌壓及牽拉損傷有關。結論：ＤＣＩＡ髂骨復合瓣移植供區并發癥是可以接受的，但應嚴格掌握手術指征，重視技術操作 . Objective: To report the prospective results on donor site complications of iliac crest composite free flaps (ICCFF) transfer. Methods: 38 patients with mandibular defects had undergone a total of 40 ICCFF transfers, donor site complications and sensory changes and gait disturbanles were prospectively assessed during preoperative and postoperative following. Results: donor site pain, sensory changes and gait disturbanles occurred frequently, Most of patients could recover during 6 months to 1 year. Major complications such as delayed healing, incisional hernia and femoral neuropathy were infrequently encountered. long term neuralgia of donor sites possibly ralated to nerves entrapment. Conclusion: in general, donor sites complications on ICCFF transter were found to be acceptable. Emphasis must be placed on operative indications and operating techniques.