口腔医学研究

口腔医学研究 ›› 2016, Vol. 32 ›› Issue (5): 521-523.DOI: 10.13701/j.cnki.kqyxyj.2016.05.024

• 临床研究论著 • 上一篇    下一篇

颏下岛状瓣修复软腭及磨牙后区缺损

孟沙沙, 介亚琼 ,韩新光* ,孙晓静   

  1. 郑州大学第一附属医院口腔颌面外科 河南 郑州 450052
  • 收稿日期:2016-01-14 出版日期:2016-05-26 发布日期:2016-05-26
  • 通讯作者: 韩新光,E-mail : xinguanghan@sina.com
  • 作者简介:孟沙沙(1988~ ),女,河南郑州人,硕士,医师,主要从事口腔颌面外科的临床治疗工作。
  • 基金资助:
    河南省青年科学基金项目(编号:81500826)

Submental Island Flap for Repair of Retromolar and Soft Palate Defects

MENG Sha-sha, JIE Ya-qiong, HAN Xin-guang*, SUN Xiao-jing.   

  1. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
  • Received:2016-01-14 Online:2016-05-26 Published:2016-05-26

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摘要： 目的:探讨颏下岛状瓣修复软腭及磨牙后区缺损的临床应用价值。方法:26例软腭及磨牙后区恶性肿瘤扩大切除后,以颏下岛状瓣修复,术后评估皮瓣形态及功能恢复情况。结果:26例皮瓣中24例完全成活,2例坏死,供区均一期愈合。其中21例患者获得随访,5例失访,随访时间6~45个月,患者发音、吞咽等功能及皮瓣形态均恢复满意。随访期间均无局部复发。放射治疗期间,皮瓣均存活良好。结论:颏下岛状瓣是修复软腭及磨牙后区恶性肿瘤术后缺损较为理想的选择。

关键词: 颏下岛状瓣, 磨牙后区, 软腭, 缺损修复, 口腔癌

Abstract: Objective: To evaluate the clinical efficacy of the submental island flap in the reparation of retromolar and soft palate defects. Methods: Retromolar and soft palate defects resulted by extended resection due to oral malignant neoplasm were reconstructed with the submental island flaps in 26 cases. Results: In our study, flap necrosis occurred in 2 out of 26 cases. Donor sites gained primary healing in all cases. 21 patients were followed up from 6 to 45 months. All these patients were satisfied with the long-term functions (speech and swallowing) and cosmetic outcomes. No local recurrence was found during follow-up, and no flap necrosis occurred during the radiotherapy. Conclusion: The submental island flap is a feasible option for repairing retromolar and soft palate defects in treating oral malignant neoplasm.

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