论文部分内容阅读
Background: The pedicled sternocleidomastoid(PSCM)flap has been described in a variety of applications in several decades.Different types of PSCM flap were used for defect reconstruction in oral and maxillofacial region.But the inconsistent outcomes still troubled surgeons.Objectives: To evaluate the reliability of the PSCM flaps,and to compare the clinical efficacy of PSCM flaps and vascularized free flaps when used in defect reconstruction after oral and maxillofacial surgery.Methods: Using a retrospective study design,we assessed the viability of PSCM flap and other free flaps during a follow up period of 1 to 85 months.Grouped information was collected according to the scale of life quality(university of Michigan head and neck quality of life,HNQOL).Complications and precautions were summarized.Results: 182 consecutive patients were reviewed,of which 80 accepted PSCM flaps in defect reconstruction.No total flap necrosis appeared,with only 7 cases encountered partial loss of the skin paddle and skin paddle avulsion in 2 cases.The incidence of complication was 11.3%.The other 108 patients were treated with different types of free flaps.According to the scale of HNQOL,no significant difference was found in two groups in rehabilitating time of physical function,mental function and speech function.Similarity was also found in survival quality,rehabilitation of recipient site function and appearance.Conclusions: The PSCM flap can be used as the substitution of free flap.Approximative post-operative life quality can be acquired when using PSCM or free flap.