China Journal of Oral and Maxillofacial Surgery ›› 2020, Vol. 18 ›› Issue (5): 385-389.doi: 10.19438/j.cjoms.2020.05.001

• Expert Consensus • Previous Articles     Next Articles

Expert consensus statement on application of perforator flap in oromaxillofacial head and neck defect reconstruction

HE Yue1, JIANG Can-hua2, HOU Jin-song3, WANG Hui-ming4, PENG Xin5, LIU Bing6, LI Jin-song7, ZHENG Lei5, XU Zhong-fei8, WU Yu-nong9, HU Jing-zhou1, QIN Xing-jun1, AI Song-tao10, ZHOU Hui-hong11, LI Chun-jie12, ZHANG Shi-zhou13, WANG Jun14, LI Xiao-guang1, LIU Zhong-long1, ZHU Feng-shuo1   

  1. 1. Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
    2. Department of Oral and Maxillofacial Surgery, Xiangya Hospital Central South University. Changsha 410008, Hunan Province;
    3. Department of Oral and Maxillofacial Surgery, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University. Guangzhou 510055, Guangdong Province;
    4. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhejiang University of Medicine, School of Stomatology, Zhejiang University. Hangzhou 310006, Zhejiang Province;
    5. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology. Beijing 100081;
    6. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Wuhan University. Wuhan 430070, Hubei Province;
    7. Department of Oral and Maxillofacial Surgery, Sun Yat -sen Memorial Hospital, Sun Yat-sen University. Guangzhou 510120, Guangdong Province;
    8. Department of Oromaxillofacial Head and Neck Surgery, School and Hospital of Stomatology, China Medical University. Shenyang 110002, Liaoning Province;
    9. Department of Oral and Maxillofacial Surgery, The Affiliated Stomatological Hospital of Nanjing Medical University. Nanjing 210029, Jiangsu Province;
    10. Radiology Department, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
    11. Ultrasonic Department, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
    12. Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology. Chengdu 610041, Sichuan Province;
    13. Department of Oral and Maxillofacial Surgery, Shandong First Medical University. Jinan 250021, Shandong Province;
    14. Department of Head and Neck Oncology, Gansu Provincial Cancer Hospital. Lanzhou 730050, Gansu Province, China
  • Received:2020-04-30 Revised:2020-05-06 Online:2020-09-20 Published:2020-10-28

Abstract: Perforator flap is supplied by the cutaneous perforator vessels, which is a common modality to reconstruct the defect tissue. However, the complex anatomy, the variety of defects in the head and neck and the perforator vessel variation prevent perforator flap from application further. So far, there is no guideline for the clinical application of perforator flaps to repair oral maxillofacial head and neck defects. Preoperative evaluation of perforator vessels lacks uniform standards and the design of perforator flaps lacks reasonable norms. There is no objective monitoring and evaluation system after perforator flap reconstruction. To further standardize the application of perforator flaps and improve the reconstruction effect in oral maxillofacial head and neck defect, this consensus summarized the practical experience of oral and maxillofacial surgeons for clinical reference.

Key words: Perforator flap, Oromaxillofacial head and neck defect, Reconstruction, Expert consensus

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