国际口腔医学杂志 ›› 2011, Vol. 38 ›› Issue (1): 22-23.doi: 10.3969/j.issn.1673-5749.2011.01.006

• 论著 • 上一篇    下一篇

原发灶对侧颏下岛状皮瓣整复口腔颌面部 缺损的临床应用

潘孟雄 马祥伟 覃小荣 毛峻武 李波 刘治强   

  1. 桂林医学院附属医院口腔颌面外科桂林541001
  • 收稿日期:2010-06-21 修回日期:2010-11-21 出版日期:2011-01-20 发布日期:2011-01-20
  • 通讯作者: 马祥伟,Tel:13005950633
  • 作者简介:潘孟雄(1968—),男,广西人,副主任医师,学士

Study on the clinical application of contralateral primary tumor submental island flap to reconstruct oral and maxillofacial defects

PAN Meng-xiong, MA Xiang-wei, QIN Xiao-rong, MAO Jun-wu, LI Bo, LIU Zhiqiang.   

  1. Dept. of Oral and Maxillofacial Surgery, The Affiliated Hospital, Guilin Medical College, Guilin 541001, China
  • Received:2010-06-21 Revised:2010-11-21 Online:2011-01-20 Published:2011-01-20

摘要:

目的探讨用原发灶对侧颏下岛状皮瓣整复舌及口底缺损,丰富口腔颌面部缺损的整复方法。方法选取5 例舌及口底肿瘤切除术后缺损,用对侧颏下岛状皮瓣进行整复,观察疗效。结果原发灶对侧颏下岛状皮瓣有足够的血管蒂到达对侧口底舌腹,修复皮瓣全部成活。结论原发灶对侧颏下岛状皮瓣切取简单,手术时间短,成活率高,供区再次损伤畸形小,不影响根治,有望成为舌口底恶性肿瘤切除后即刻修复常规皮瓣。

关键词: 舌口底缺损, 原发灶对侧颏下岛状皮瓣, 舌口底恶性肿瘤

Abstract:

Objective To explore the method that uses primary tumor contralateral submental island flap to reconstruct tongue and floor of mouth defects. Methods Selected 5 cases that used primary tumor contralateral submental island flap to reconstruct tongue and floor of mouth defects after tumor resection, and observed the clinical efficacy. Results The submental island flap has a long pedicle, which can reach contralateral tongue and floor of mouth if required. All flaps were survived postoperative. Conclusion Contralateral primary tumor submental island flap has many features include: Easy obtaining and high survival rate with minimal donor site morbidity. It does not affect the radical, so it will be an ideal material for repairing tongue and floor of mouth defects.

Key words: tongue or floor of mouth defects, contralateral primary tumor submental island flap, tongue or floor of mouth cancer

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