摘要
目的探讨颈阔肌肌皮瓣修复口腔恶性肿瘤切除术后组织缺损的方法并评价其修复效果。方法2003年6月~2005年9月,应用颈阔肌肌皮瓣修复舌、颊、口底、咽侧壁及软腭缺损20例。其中男10例,女10例,年龄40岁~74岁。平均59岁。颊黏膜癌4例,舌癌7例,牙龈癌5例,颊部及咽侧壁及软腭癌2例,下颌骨中心性癌1例,舌下腺癌1例。均行病变扩大切除及颌颈联合根治术,缺损范围4.5cm×5.5cm^7.0cm×6.0cm,应用颈阔肌皮瓣修复软组织缺损,皮瓣范围9.5cm×4.5cm^12.0cm×6.0cm。结果术后20例皮瓣均成活,外形无异常,张口不受限。随访9个月~36个月,无舌运动受限等并发症,肿瘤无复发,患者对术后形态及功能均较满意。结论颈阔肌肌皮瓣解剖恒定,血运丰富,手术操作简便,成活率高,是修复口腔肿瘤术后组织缺损的理想方法,值得推广应用。
Objective： To study the method of platysma myocutaneous flap in reconstruction of oral defects and evaluate the merits . Methods： From June 2003 to September 2005, 20 patients with defects of tongue, floor of mouth, bucca, lateral pharynx and soft palate were treated with platysma myocutaneous flaps. There were 10 males and 10 females with an age range of 40 -74 years old. The average age was 59 years. Defects were caused by resection of malignant tumors of buccal mucosa （4 cases ）, tongue （ 7 cases ） , gingival （ 5 cases ） , buccal, lateral pharyngeal and soft palate（2 cases） ,sublingual gland（ 1 cases） and mandible（ 1 cases）. All patients were given primary cancer resection and radical neck dissection. The defect sizes were from4.5cm × 5.5cm to 7. 0cm × 6. 0cm. The sizes of the platysma myocutaneous flap were from 9.5cm ×4.5cm to 12. 0cm ×6.0cm. Results： All the flaps were survived, all the patients were followed up for 9 - 36 months, and the color and appearance of the flaps were normal. Mouth - opening was not limited. No ankyloglossia or tumor relapse occurred. The results were satisfactory. Conclusion： Platysma myocutaneous flap provides a good method for the reconstruction of oral tissue defects and is suitable for clinical application with merits of generous blood supply, uncomplicated operation and high survival rate.
出处
《现代肿瘤医学》
CAS
2007年第2期185-187,共3页
Journal of Modern Oncology
关键词
口腔癌
口腔内缺损
颈阔肌肌皮瓣
缺损修复
oral carcinoma
intraoral defect
platysma myocutaneous flap
defect repair
