【摘要】 <正> 口颊洞穿性缺损的修复是一个比较困难的问题,要同时修复口腔粘膜层及口颊皮肤层,有关文献国内很少。本文总结我院1980年10月至1984年8月口颊洞穿性缺损16例的组织整复,并结合文献进行讨论。 临床资料 一、姓别、年龄 男13例,女3例,年龄28～63岁,平均46.8岁。 二、病因 16例口颊洞穿性缺损皆为肿瘤手术切除所致。其中9例为口颊癌累及皮肤,更多还原

【Abstract】 Repair of the through and through cheek defects is a difficult problem because repair of internal fining and external coverage must be done simultaneously. 16 cases had been performed this repair for defect of tumor resection from October 1980 to August 1934 in our department. Of them, 6 were performed with folding of forehead flap or forehead flap with free graft lining, 2 with folding of major myocutaneous flap, one with pectoral major myocutaneous flap and free graft lining, 7 with two flaps simultaneously. The result were 13 total and 3 partial success.The use of arterislized flap promotes the development of this defect repair. We think that it should be individualized on using this procedure. For smaller defects, aged and weaker patients, or those associated with lip defect, forehead flap folding or forehead flap with free graft lining may be better. For bigger defects, cheek lesions with severe infection or those having been irradiated heavily, two flaps may be used; for simultaneous lymp-hnode dissection of the neek pectoral major myocutaneous flap may be considered.更多还原