上颌骨切除术后组织缺损的修复

目的:探讨上颌骨切除术后组织缺损选择修复方法的原则。方法:回顾分析45例鼻窦肿瘤行上颌骨切除,即刻用全额肌皮瓣、颞肌皮瓣、胸大肌皮瓣等修复组织缺损患者的临床资料。结果:41例转移皮瓣均存活,血供良好,切口一期愈合,无明显并发症。皮瓣部分坏死4例,移植组织瓣边缘坏死,创面延期愈合。结论:完整上颌骨切除仅有硬腭缺损可用赝复体修复,眶周及上颌骨的上部切除选择颞肌皮瓣、全额肌皮瓣修复,下部切除可用局部皮瓣或黏膜瓣修复;颞肌区域性皮瓣、全额肌皮瓣则是修复眶底缺损较好的选择。

Reconstructive options for maxillofacial defect of paranasal sinus neoplasm dissection

Objective: To explore the resconstrutive option for maxillary defect.Method: A retrospective analysis was applied. Forty-five consecutive patients were included who underwent surgical revision of paranasal sinus neoplasm dissection form March, 1983 to December,2000.Result:Forty - one cases underwenting surgical revision with all kinds of flap were alive,and 4 cases had partial necrosis. The function of breath through nose or mouth , deglutition and speech were satisfactory. Conclusion: The forehead flap and the temporalis regional flap are particular useful in the surgical revision of posterior and superior partial maxillary defect with associated sino-orbital or soft tissue deficits . The regional flap and prosthesis may provide an ideal option to the complete maxillectomy.