摘要
目的通过对颏下岛状肌皮瓣修复口腔颌面部缺损的临床观察，探讨其适应证，以期指导临床应用。方法回顾性分析2006年1月至2010年5月应用颏下岛状肌皮瓣修复口腔颌面部缺损的病例68例，其中舌癌28例，腭癌13例，口底癌9例，牙龈癌4例，颊癌6例，唇癌3例，其他5例；男47例，女21例；年龄25～84岁，平均58岁；皮瓣面积最小为4cm×4cm，最大为15cm×10cm。结果62例皮瓣存活；4例出现皮瓣部分坏死，经去除坏死部分，局部换药后痊愈；2例皮瓣完全坏死，予以清除。肌皮瓣受区外观满意、功能恢复良好，供区瘢痕隐蔽。术后随访3～24个月，5例原位复发，15例发生颈淋巴转移，其中NO期5例，N1期4例，N2期6例。结论颏下岛状肌皮瓣适用于无区域性淋巴转移的早期口腔癌及口腔良性肿瘤患者术后缺损的修复。
Objective To evaluate the outcome and indication of the reconstruction of oral and maxillofacial postoperative defects by submental artery island myoeutaneous flaps. Methods Sixty eight cases with the reconstruction of oral and maxillofacial defects by submental artery island myocutaneous flaps from January 2006 to May 2010 were analysed retrospectively. Primary lesions included carcinomas origining from tongue （28 cases）, palate （ 13 cases）, mouth floor （9 cases）, gingiva （4 cases）, buccal mucosa （6 cases） , lip （3 cases） , and other malignant or benign tumors （5 cases）. The ages ranged from 25 to 84 years （mean 58 years） ; 47 males and 21 females. The sizes of skin paddle varied from a minimum of 4 cm ×4 cm to a maximum of 15 cm × 10 cm. Results Of the 68 flaps, 62 were survival, 4 had partial necrosis but healed with treatments, and 2 failed due to complete necrosis. Appearance and functions of recipient sites were satisfactory. The followed-up time was 3 - 24 months, local recurrence occurred in 5 cases and cervical lymph node metastases were found in 15 patients. Conclusion Submental island flap is reliable for the reconstruction of postoperative defects in early oral cancer without regional lymph node metastasis or in benign tumor.
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2012年第4期285-288,共4页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
基金
国家自然科学基金（30872891）
关键词
修复外科手术
外科皮瓣
颌
面部
Reconstructive surgical procedures
Surgical flaps
Jaw
Face
