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Repair of large orbito-maxillofacial defects following resection of tumors with temporalis myofascial flap and facial-cervico-pectoral flap
引用本文:CHENWei-liang LIJin-song YANGZhao-hui HUANGZhi-quan ZHANGBin. Repair of large orbito-maxillofacial defects following resection of tumors with temporalis myofascial flap and facial-cervico-pectoral flap[J]. 中国口腔颌面外科杂志, 2005, 3(2): 97-100
作者姓名:CHENWei-liang LIJin-song YANGZhao-hui HUANGZhi-quan ZHANGBin
作者单位:DepartmentofOralandMaxillofacialSurgery,TheSecondAffiliatedHospitalofSUNYat-senUniversity.Guangzhou510120,GuangdongProvince,China
摘    要:
PURPOSE: To evaluate the results of facial-cervico-pectoral rotation flap (FRF) and temporalis myofascial flap (TMF) in the repair of large soft tissue defect in oral and maxillofacial regions. METHODS: Six patients with malignant orbital tumors and/or maxillofacial tumors invading the orbital regions were treated with extensive resection. The major midfacial soft tissue defects were repaired by temporalis myofascial flap and facial-cervico-pectoral rotation flap. RESULTS: All flaps were successfully transferred; the result of facial aesthetics was satisfactory in all patients. Follow-up periods varied from 9 to 20 months (mean follow up period: 13.2 months) and all of the patients were alive during the follow-up period with one recurrence. CONCLUSIONS: The TMF and the FRF are easy to harvest, have low donor site morbidity, and are compatible with the principles of oncologic resection. It is the method of choice for repairing major orbito-maxillofacial skin defects following resection of the tumors.

关 键 词:上颌面损失 手术切除 肺肿瘤 胸腔疾病

Repair of large orbito-maxillofacial defects following resection of tumors with temporalis myofascial flap and facial-cervico-pectoral flap
CHEN Wei-liang,LI Jin-song,YANG Zhao-hui,HUANG Zhi-quan,ZHANG Bin. Repair of large orbito-maxillofacial defects following resection of tumors with temporalis myofascial flap and facial-cervico-pectoral flap[J]. China Journal of Oral and Maxillofacial Surgery, 2005, 3(2): 97-100
Authors:CHEN Wei-liang  LI Jin-song  YANG Zhao-hui  HUANG Zhi-quan  ZHANG Bin
Abstract:
PURPOSE: To evaluate the results of facial-cervico-pectoral rotation flap (FRF) and temporalis myofascial flap (TMF) in the repair of large soft tissue defect in oral and maxillofacial regions. METHODS: Six patients with malignant orbital tumors and/or maxillofacial tumors invading the orbital regions were treated with extensive resection. The major midfacial soft tissue defects were repaired by temporalis myofascial flap and facial-cervico-pectoral rotation flap. RESULTS: All flaps were successfully transferred; the result of facial aesthetics was satisfactory in all patients. Follow-up periods varied from 9 to 20 months (mean follow up period: 13.2 months) and all of the patients were alive during the follow-up period with one recurrence. CONCLUSIONS: The TMF and the FRF are easy to harvest, have low donor site morbidity, and are compatible with the principles of oncologic resection. It is the method of choice for repairing major orbito-maxillofacial skin defects following resection of the tumors.
Keywords:Temporalis myofascial flap  Facial-cervico-pectoral rotation flap  Oral and maxillofacial tumors  Defect
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