带蒂颊脂垫在口腔肿瘤术后组织缺损即刻修复中的效果评价

目的 探讨带蒂颊脂垫瓣在口腔肿瘤术后组织缺损即刻修复中的应用效果及其适应证。方法 选择86例口腔肿瘤患者,其中,男58例,女28例,平均年龄50岁。采用带蒂颊脂垫移植即刻修复肿瘤切除术后缺损,观察术后效果和并发症情况。结果 所有病例中移植皮瓣均存活,颊脂垫瓣在9~10周内顺利愈合,未覆盖的表面形成上皮化,与正常黏膜相似。随访3个月~3年,所有患者均无明显功能障碍和面部畸形,并发症仅为3.5%。结论 带蒂颊脂垫是修复口腔组织缺损的理想材料,并发症少,是口腔肿瘤术后组织缺损即刻修复的可行选择。

Clinical application of the pedicled buccal fat pad flap in immediate reconstruction of oral tissue defects during oral surgery

PURPOSE: The aim of this study was to investigate the effect and indication of the application of pedicled buccal fat pad flap for oral tissue defects during oral surgery. Methods: Eight-six cases (58 males, 28 females; mean age: 50 years) suffering from oral tumor were included in this study. The defect after tumor resection was immediately repaired by pedicled buccal fat pad transplantation. The effect and postoperative complications were observed. Results: All cases underwent uneventful healing with a surviving graft. The buccal fat pad healed in about 9 to 10 weeks and its uncovered surface became epithelialized with similar feature to the normal mucosa. At a follow-up of 3 months to 3 years, a good outcome was obtained with minimal malfunction and facial deformity. Complications were only 3.5%. Conclusions: The pedicled buccal fat pad is ideal material for repair. It has fewer complications and is a viable option for immediate reconstruction of oral tissue defects during oral surgery.