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《West China Medical Journal》 2011-05
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Nursing Care of Transplanted Forearm Free Flaps for Reconstruction of Soft Tissue Defects after Oral Cancer Operation

LIU Rong,XING Yu-zhen,HUANG Xiao-fei.Department of Stomatology,Union Hospital of Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,P.R.China  
Objective To investigate the perioperative nursing experiences of the transplanted forearm free flaps for reconstruction of soft tissue defects after oral cancer operation.Methods We retrospectively analyzed the clinical data of perioperative nursing care for 63 patients with soft tissue defects after oral cancer reconstructed with radial forearm free flaps.Psychological care and related preparation work was well carried out before operation.After operation,we closely monitored the outcome of transplantation of skin flaps to detect vascular crisis as early as possible,and at the same time,intensive care for oral cavity,respiratory tract,flap position and the affected areas was done.Results By intensive care,closely monitoring the transplanted flaps,and early discovery and management of the vascular crisis,we achieved a satisfying one-time transplantation survival rate of 95.24% for the 63 patients.Conclusion Scientific and proper perioperative care is an important factor in the successful reconstruction of soft tissue defects with free forearm flaps after oral cancer operation.
【CateGory Index】: R473.73
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