【摘要】 目的探讨用原发灶对侧颏下岛状皮瓣整复舌及口底缺损,丰富口腔颌面部缺损的整复方法。方法选取5例舌及口底肿瘤切除术后缺损,用对侧颏下岛状皮瓣进行整复,观察疗效。结果原发灶对侧颏下岛状皮瓣有足够的血管蒂到达对侧口底舌腹,修复皮瓣全部成活。结论原发灶对侧颏下岛状皮瓣切取简单,手术时间短,成活率高,供区再次损伤畸形小,不影响根治,有望成为舌口底恶性肿瘤切除后即刻修复常规皮瓣。更多还原

【Abstract】 Objective To explore the method that uses primary tumor contralateral submental island flap to reconstruct tongue and floor of mouth defects.Methods Selected 5 cases that used primary tumor contralateral submental island flap to reconstruct tongue and floor of mouth defects after tumor resection,and observed the clinical efficacy.Results The submental island flap has a long pedicle,which can reach contralateral tongue and floor of mouth if required.All flaps were survived postoperative.Conclusion Contralateral primary tumor submental island flap has many features include:Easy obtaining and high survival rate with minimal donor site morbidity.It does not affect the radical,so it will be an ideal material for repairing tongue and floor of mouth defects.更多还原