颞肌筋膜瓣在颅面部肿瘤术后缺损修复中的应用

目的:探讨颞肌筋膜瓣(TMF)在修复颅面部肿瘤术后缺损中的应用。方法:根据缺损大小和部位 设计TMF,对10例颅面部肿瘤术后缺损患者进行修复,其中3例修复颅底缺损,5例修复口咽部缺损,2例修复 眶。结果:随访8～50个月,10例TMF全部成活;修复颅底者,未出现颅内感染及脑脊液漏;修复口咽者,语言、 吞咽功能无明显障碍;修复眶者解剖形态基本恢复,外观满意。结论:TMF是修复颅面部肿瘤术后缺损的理想选 择。

The application of the temporalis myofacial flap in the reconstruction of craniofacial oncologic defects

OBJECTIVE: To explore the application of the temporalis myofacial flap(TMF) in the reconstruction of craniofacial oncologic defects. METHOD: Ten cases with craniofacial neoplasms were treated surgically using TMF to reconstruct oncologic defects. TMF during 2000-2003. was used to reconstruct cranial base in 3 cases, oropharynx in 5 cases and orbital defects in 2 cases. TMF was designed according to size and locus of defect. The sizes of the flaps ranged from 3 cm x 4 cm to 8 cm x 10 cm. RESULT: During follow-up of 8 to 50 months, there were no cases of flap loss, no cranial infection or cerebrospinal fluid leak in cranial base reconstructions, no speech or swallowing disturbance in oropharyx reconstruction. All patients were satisfied with appearance with orbital reconstruction. CONCLUSION: TMF is a useful and reliable flap for reconstruct the craniofacial oncologic defects.