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逆行面动脉瓣修复口腔颌面部肿瘤术后缺损12例报道
引用本文:赵小朋,刘军平,焦九阳,郁鑫,潘朝斌.逆行面动脉瓣修复口腔颌面部肿瘤术后缺损12例报道[J].中国口腔颌面外科杂志,2012,10(3):227-230.
作者姓名:赵小朋  刘军平  焦九阳  郁鑫  潘朝斌
作者单位:1. 中山大学孙逸仙纪念医院口腔颌面-头颈外科,广东广州,510120
2. 东莞市寮步医院口腔科,广东东莞,523400
基金项目:广东省自然科学基金(10151008901000184);广东省科技计划项目(2011B031800124)~~
摘    要:目的:探讨逆行面动脉瓣修复口腔颌面部肿瘤缺损的效果。方法:选择2008年5月—2011年1月在中山大学孙逸仙纪念医院口腔科就诊的发生于上颌、软腭、颊部等口裂以上的12例肿瘤患者,肿瘤根治术同期采用逆行面动脉瓣修复组织缺损。结果:12例患者中,皮瓣成活11例(91.7%),完全坏死1例。术后随访8~36个月,局部、颈部肿瘤复发各1例。下颌下区切口均一期愈合,无裂开。2例患者术后出现面神经损伤。结论:逆行面动脉瓣制备简单,血供可靠,适合修复口腔颌面部口裂以上的缺损。

关 键 词:口腔癌  逆行面动脉瓣  重建

Reversed facial artery flap for reconstruction of oral and maxillofacial defects following cancer surgery:report of 12 consecutive cases
ZHAO Xiao-peng , LIU Jun-ping , JIAO Jiu-yang , YU Xin , PAN Chao-bin.Reversed facial artery flap for reconstruction of oral and maxillofacial defects following cancer surgery:report of 12 consecutive cases[J].China Journal of Oral and Maxillofacial Surgery,2012,10(3):227-230.
Authors:ZHAO Xiao-peng  LIU Jun-ping  JIAO Jiu-yang  YU Xin  PAN Chao-bin
Institution:1.(1.Department of Oral and Maxillofacial-Head and Neck Surgery,Sun Yat-sen Memorial Hospital of Sun Yat-sen University.Guangzhou 510120;2.Department of Stomatology,Liaobu Hospital of Dongguan City.Dongguan 523400,Guangdong Province,China)
Abstract:PURPOSE: To assess the reliability and usefulness of reversed facial artery flap for reconstruction of oral and maxillofacial defects following cancer surgery.METHODS: Twelve defects were repaired with reversed facial artery flap after resection of the cancer in maxillofacial,soft palate,or buccal division.RESULTS: The postoperative outcome for reversed facial artery flap was survival in 11 cases,the success rate was 91.7%(11/12).All the patients were followed up for 8-36 months,local recurrence was found in 1 case and cervical recurrence in 1case.The wound under submaxillary region healed uneventfully.Two patients developed facial nerve injury after operation.CONCLUSIONS: The reversed facial artery flap could be operated conveniently and has reliable blood supply.It is suitable to repair oral and maxillofacial defects above mouth.
Keywords:Oral cancer  Reversed facial artery flap  Reconstruction
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