Reconstruction of Tissue Defects Resulting from Buccal or Oropharyngeal Carcinoma Ablation with Regional Pedicular Flaps in 65 Cases_West China Medical Journal

Authors：

LI Wen ¹ , WANG Yan ² , LEI Xiaoxu ³ , XIAN Junming ¹

1Department of Otolaryngology, Head &neck Surgery, West China Hospital, 2State Key Laboratory of Oral Diseases (Sichuan University),3 Department of maxillofacial Surgery, College of Stomatology, Sichuan University, Chengdu Sichuan 610041, China;

Corresponding author：

Keywords：

口腔癌; 外科治疗; 皮瓣; 修复

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目的:组织瓣修复缺损是头颈部肿瘤切除术中的重要手段和必要环节。本研究总结65例颊癌和口咽癌不同范围组织缺损用局部带蒂组织瓣的修复方法。方法: 回顾2001~2009年我科65例口腔颊癌及口咽癌切除术后选择腭瓣、颏下瓣、面动脉逆行皮瓣、颊脂垫颊肌复合瓣修复颊部及口咽部组织缺损,病变范围和治疗结果。结果: 65例皮瓣中,17例腭瓣全部成活,29例颏下瓣26例全部成活,2例部分坏死,1例表层皮肤坏死, 7例面动脉逆行皮瓣6例全部成活,1例坏死,12例颊脂垫或颊脂垫颊肌复合瓣全部成活11例,1例部分坏死,总成活率96.9％。31例患者术后有不同程度的张口受限,咀嚼和吞咽功能基本正常。结论: 根据颊癌和口咽癌的病变范围决定采用不同的临近带蒂组织瓣修复缺损,修复效果确切,可以明显减少手术创伤和术后并发症,尤其适用于年老及较多基础疾病患者,仍应作为头颈部肿瘤术后缺损修复的重要方法。

Citation： LI Wen,WANG Yan,LEI Xiaoxu,XIAN Junming. Reconstruction of Tissue Defects Resulting from Buccal or Oropharyngeal Carcinoma Ablation with Regional Pedicular Flaps in 65 Cases. West China Medical Journal, 2009, 24(10): 2514-2516. doi: Copy

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1. 温玉明. 口腔颌面部肿瘤学—现代理论与临床实践[M]. 第一版.北京.人民卫生出版社,2004: 805-812.
2. 李晓江,张世文,孙瑞梅,等.颏下岛状皮瓣修复口腔癌术后组织缺损15例[J].口腔颌面外科杂志,2005,15(2):175-176.
3. 张彬,李德志,唐平章.穿支游离皮瓣修复头颈肿瘤术后缺损[J].中华整形外科杂志,2006,22(5):347-350.
4. 孙弘.颌面显微外科学[M]. 第一版.北京人民军医出版社.1993:92-93.
5. MARTIN D, PASCAL J F, BAUDET J, et al. The submental island flap: a new donor site: Anatomy and clinical applications as a free or pedicled flap[J]. Plast Reconstr Surg,1993,92(5):867-873.
6. 李国萍,隋军,李晓江.颏下岛状皮瓣的解剖研究及临床应用进展(综述)[J].口腔颌面外科杂志,2006(16):259-262.
7. 吴跃煌,唐平章,祁永发,等.颏下岛状皮瓣应用回访[J].中华口腔医学杂志,2002,37(6):418-420.
8. UYSAL A C, ALAGOZ M S, UNLU R E, et al. An anatomical study and clinical applications of the reversed submental perforatorbased island flap[J]. Plast Reconstr Surg, 2003,112(2):690-691.

West China Medical Journal

Reconstruction of Tissue Defects Resulting from Buccal or Oropharyngeal Carcinoma Ablation with Regional Pedicular Flaps in 65 Cases

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