【作者】 梁尚争； 陈群； 付光新； 黄兰英； 江涛；

【Author】 Liang Shangzheng, Chen qun, Fu guangxin, et al . Department of oral - Maxillofacial surgery, Luzhou Medical College, Luzhou 646000, China

【机构】 泸州医学院附属医院；

【摘要】 <正>目的:探讨颊指垫瓣在口腔颌面部的应用,手术方法,适应症,优缺点及并发症。方法:将颊脂垫形成一蒂在后方的颊脂垫组织瓣。将瓣转移至缺损区,在无张力下与创缘缝合,表面用碘仿纱布轻轻加压打包固定。用以修复口腔颌面部的良恶性肿瘤,损伤留下的缺损以及口腔上颌窦瘘。其中修复腭部缺损2 例,上颌骨切除后缺损7例,颊粘膜癌切除后缺损3例,颊部良性肿瘤切除后缺损4例,磨牙后区粘表癌切除后缺损1例,封闭拔牙后口腔上颌窦瘘1例。共计18例。结果:术后十天去除碘仿纱布,见颊脂垫轻度水肿,2-4周后水肿明显消退,颊脂垫表面逐渐上皮化,6-8周内表面完全上皮化,3月后再生粘膜更多还原

【Abstract】 OBJECTIVE To explore the use of buccal fat pad flap in oral - maxillofacial regions, the surgical technique , indication, advantage, disadvantage, and complication. METHODS The buccal fat pad flap was made into a tissue flap whose blood supply was in the rear. The flap was shifted to the defect and sutured at the cut edge without tension . At last, the flap was bound and pressured using iodoform gauze lightly. The flaps were applied to reconstruct the defects of benign and malignant tumors in oral - maxillofacial regions , injury and o-ral maxillary sinus fistula. All the 18cases included 2 cases in palate defects , 7 of defects after maxillas were cut off, 3 of defects after buccal mucosa carcinomas, 4 of defects after buccal benign tumors were removed , 1 case of defect after mucoepidermoid carcinoma behind molar was cut off , 1 of defect of oral maxillary sinus fistula after extraction of tooth. RESULTS Iodoform gauze was got rid of 10 days after operation, when buccal fat pad flap was a little dropsical . The edema disappeared mostly after 2 ~ 4 weeks and the surface of buccal fat pad flap epithelialized little by little and epithelialized completely within 6 ~8 weeks. After 3 months, the new grown mucosa was alike the normal oral mucosa. Adequate closure of the defects achieved during surgery in all cases. All the flaps survived completely and no operative complications occurred. CONCLUSION The buccal fat pad as a flap offers an adequate reconstruction in oral - maxillofacial region defects. It is a simple and quick surgical technique and is worthy to be popularized.更多还原