Abstract:

Free flaps play key roles in reconstruction of oral soft tissue defects. Nowadays，reconstruction pays more attention to precision，function and less donor sites compromise. Upon employment of perforator flaps in recent years，more choices and less trauma to donor sites became possible. While forearm flap used to be workhorse in oral defects reconstruction，there were some drawbacks for the flap. The ALT flap has some advantages compared with forearm flap except for its bulkiness. The peroneal artery perforator flap owns the benefit of both forearm and ALT flaps in reconstruction of oral tongue，floor of mouth and buccal defects. We summarize the features of perforator flap in this article；it is a good alternative to forearm and ALT flaps in oral defects reconstruction.

Key words: defects, perforator flap, OSCC, reconstruction, peroneal artery

摘要：

游离皮瓣在颌面部缺损修复重建中发挥着重要作用。目前，修复重建更注重精确化、功能化和微创化。穿支皮瓣的出现增加了皮瓣的选择范围，减小了供区的创伤。既往对于口腔内缺损的修复多采用前臂皮瓣，但前臂皮瓣也有其固有的缺点。股前外侧穿支皮瓣的出现解决了部分问题，但其厚度成为修复薄层缺损的一个障碍。位于小腿上外侧的腓动脉穿支皮瓣，兼具前臂外侧皮瓣薄而柔软的特点和股前外侧穿支皮瓣的组织量，在修复舌、颊和口底缺损中体现出了一定的优势。文章概述了腓动脉穿支皮瓣的特点，该皮瓣是前臂皮瓣和股前外侧穿支皮瓣的有益补充，具有一定的发展优势。

关键词: 缺损, 穿支皮瓣, 口腔癌, 修复重建, 腓动脉