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颞肌筋膜瓣口腔愈合的临床及组织学研究 被引量:24

The healing process of the temporalis myofascial flap in oral reconstruction
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摘要 为了研究颞肌筋膜瓣的口腔愈合过程及其修复粘膜的组织学特征。作者通过对用此瓣修复的36例平均术后32个月的追踪观察,结果发现口腔内无覆盖的颞肌筋膜瓣发生了包括急性炎症期、慢性炎症期和增生期,最终口腔粘膜上皮化的连续愈合过程。70%的病例愈合后的粘膜存在轻度瘢痕;修复的粘膜和正常口腔粘膜比较有其特征性组织学形态。 From a prospective study of 36 patients having had temporalis myofascial flap (mean follow up 32 months), the clinical oral healing process and the histological characteristics of the repaired mucosa were investigated. Among this group, 24 patients were assessed of the clinical scarring over the reconstructed area and 11 patients for histological evaluation of the repaired mucosa. Result showed that the uncovered temporalis myofascial flap in the mouth underwent a consistent healing commencing with an acute inflammatory phase, through chronic inflammatory and proliferative phases to eventual epithelialization by oral mucosa. No major complications affecting the healing flap were noted. The healed mucosa exhibited scarring in 70% of cases and the repaired mucosa demonstrated histological features distinct from the normal mucosa.
出处 《中华口腔医学杂志》 CAS CSCD 北大核心 1997年第3期146-148,共3页 Chinese Journal of Stomatology
关键词 颞肌筋膜瓣 口腔粘膜 口腔颌面部 修复 组织学 Maxillofacial prosthesis Mucous membrane
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