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面动脉-颏下动脉岛状肌皮瓣修复颊黏膜缺损(附13例报告)

Facial artery-submental artery island myocutaneous flap for reconstructing defects of the buccal mucosa defects

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【作者】 李荣盛黎江陈伟良

【Author】 LI Rong-sheng1,LI Jiang1,CHEN Wei-liang2.1.Department of Stomatology,Yangjiang Peoples Hospital,Guangdong Yangjiang 529500,China;2.Department of Oral and Maxillofacial Surgery,Sun Yat-sen Memorial Hospital of Sun Yat-sen University,Guangdong Guangzhou 510120,China.

【机构】 广东省阳江市人民医院口腔科中山大学孙逸仙纪念医院口腔颌面外科

【摘要】 目的:评价面动脉-颏下动脉岛状肌皮瓣(FSF)修复颊癌术后颊黏膜缺损的临床效果。方法:13例颊黏膜鳞状细胞癌手术切除后颊黏膜组织缺损,用FSF修复。本组病例中,男8例,女5例;平均年龄58.5岁;T2N0M0期7例,T3N0M0期6例。皮瓣大小为4.0 cm×8.0 cm~5.0 cm×10.0 cm。结果:面动脉-颏下动脉岛状肌皮瓣修复颊黏膜缺损手术成功率92.3%(12/13)。全部病例经12~24个月复查,受区功能正常,供区外形良好,有1例颈部肿瘤复发。结论:FSF适用于修复中型颊黏膜缺损。

【Abstract】 Objective:To evaluate the reliability of facial artery-submental artery island myocutaneous flaps for reconstruction of buccal mucosa defects following cancer surgery.Method:Between April of 2008 and April of 2010,eight male and five female patients with a mean age of 58.5 years(range,42 to 78 years) underwent the buccal mucosa defects of reconstruction of the facial artery-submental artery island myocutaneous flaps following resection of the buccal mucosa squamous cell carcinoma.The patients were classified as 7 as T2N0M0,and 6 as T3N0M0.The sizes of skin paddle ranged from 4.0 cm×8.0 cm~5.0 cm×10.0 cm.Result:The success rate of the flaps was 92.3 %(12/13).The form and function of recipient sites were well recovered.All the patients were followed up for 12~24 months cervical recurrence in one cases were observed.Conclusion:The facial artery-submental artery island myocutaneous flaps are suitable to repair medium-sized buccal mucosa defects.

  • 【文献出处】 临床口腔医学杂志 ,Journal of Clinical Stomatology , 编辑部邮箱 ,2013年01期
  • 【分类号】R782.2
  • 【下载频次】121
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