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颊癌术后软组织缺损带蒂瓣修复的临床观察
引用本文:黄星星,张文峰,赵吉宏,刘芸,乔纪兰. 颊癌术后软组织缺损带蒂瓣修复的临床观察[J]. 口腔颌面外科杂志, 2006, 16(3): 236-238
作者姓名:黄星星  张文峰  赵吉宏  刘芸  乔纪兰
作者单位:深圳市妇幼保健院口腔病防治中心,广东,深圳,518048;武汉大学口腔医学院口腔颌面外科,湖北,武汉,430079
摘    要:目的:评价带蒂(肌)皮瓣或黏膜瓣修复颊癌切除后软组织缺损的效果。方法:回顾性分析1998年-2003年,39例颊癌术后缺损行带蒂瓣修复的病历资料,其中颈阔肌瓣修复12例,舌瓣修复9例,额瓣10例,胸大肌瓣3例,颏下岛状皮瓣2例,腭瓣、胸锁乳突肌皮瓣各1例,舌瓣联合胸锁乳突肌皮瓣修复缺损1例。结果:39例颊癌术后缺损的带蒂瓣修复中,成活或基本成活34例,部分坏死2例,完全坏死3例,成活率为87.2%。结论:带蒂瓣是修复颊癌术后软组织缺损的较好方法。

关 键 词:颊部缺损  带蒂瓣  修复
文章编号:1005-4979(2006)03-0236-03
收稿时间:2006-05-17
修稿时间:2006-05-17

Pedicle Flaps in the Reconstruction of Soft Tissue Defects after Surgical Resection Buccal Carcinoma
HUANG Xing-xing,ZHANG Wen-feng,ZHAO Ji-hong,LIU Yun,QIAO Ji-lan. Pedicle Flaps in the Reconstruction of Soft Tissue Defects after Surgical Resection Buccal Carcinoma[J]. Chinese Journal of Oral and Maxillofacial Surgery, 2006, 16(3): 236-238
Authors:HUANG Xing-xing  ZHANG Wen-feng  ZHAO Ji-hong  LIU Yun  QIAO Ji-lan
Affiliation:1. Stomatological Health Center, Shenzhen Maternity and Child Healthcare Hospital, Shenzhen 518048, Guangdong Province; 2. Department of Oral and Maxillofacial Surgery, College of Stomatology, Wuhan University, Wuhan 430079, Hubei Province, China
Abstract:Objective: To evaluate reconstruction of soft tissue defects after surgical resection of buccal carcinoma with pedicle flaps.Methods: From 1998 to 2003,records of 39 cases were reviewed,whose soft tissue defects after resection of buccal carcinoma were repaired with platysmal myocutaneous flaps(12 cases),tongue flaps(9 cases),forehead flaps(10 cases),pectoralis major myocutaneous flaps(3 cases),submental island flaps(2 cases),palatal flap(1 case),sternocleidomastoide myocutaneous flap(1 case).All cases were followed up for 3 years.Results: The flaps were successful in 34 cases(87.2%).2 flaps showed partial necrosis,and 3 flaps were total necrosis.Conclusion: Pedicle flaps are reliable and convenient for cheek defects repairing.
Keywords:buccal defects  pedicle flap  reconstruction
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