应用颊脂垫联合邻近软组织瓣修复老年大型口腔上颌窦瘘

doi:10.13701/j.cnki.kqyxyj.2024.04.008

摘要/Abstract

摘要： 目的: 评价应用颊脂垫瓣联合邻近软组织瓣,同期修补由骨髓炎或肿瘤切除术中造成的老年大型口腔上颌窦瘘的临床效果。方法: 收集南京大学医学院附属口腔医院口腔颌面外科2020年1月~2022年12月收治的术中并发大型(最大直径大于4 cm)口腔上颌窦瘘患者8例,患者年龄62~84岁。回顾性分析应用颊脂垫瓣联合颊侧推进瓣或腭黏膜瓣覆盖缺损,术后随访对疗效进行评估。结果: 全部病例修复成功,未见软组织瓣坏死、穿孔、感染及上颌窦炎鼻窦炎,随访3个月颌面部基本对称,经张口训练后,张口度恢复正常。结论: 颊脂垫瓣联合邻近软组织瓣是方便可靠的修复老年大型口腔上颌窦瘘方法,值得临床推广。

关键词: 老年, 口腔上颌窦瘘, 颊脂垫, 邻近软组织瓣

Abstract: Objective: To investigate the application of buccal fat pad (BFP) combined with adjacent soft tissue flap in management of large oro-antral communication (OAC) in the elderly. Methods: Eight patients with intraoperative large OAC (maximum diameter greater than 4 cm) admitted to the Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Medical School, Nanjing University from January 2020 to December 2022 were collected, and the age of the patients ranged from 62 to 84 years old. The application of BFP combined with a buccal advancement flap or a palatal mucosal flap to cover the defect was retrospectively analyzed, and the efficacy was prospectively evaluated during postoperative follow-up. Results: All cases were successfully repaired, and no flap necrosis, perforation, infection, or maxillary sinusitis was found. The maxillofacial region was basically symmetrical during the 3-month follow-up. After mouth opening training, the mouth opening returned to normal. Conclusion: BFP combined with adjacent soft tissue flap is a convenient and reliable method to repair large OAC in the elderly, and is worthy of clinical promotion.

Key words: the elderly, oro-antral communication, buccal fat pad, adjacent soft tissue flap

徐泽东, 孙国文. 应用颊脂垫联合邻近软组织瓣修复老年大型口腔上颌窦瘘[J]. 口腔医学研究, 2024, 40(4): 321-324.

XU Zedong, SUN Guowen. Utilization of Buccal Fat Pad in Combination with Adjacent Soft Tissue Flap for Closure of Large Oro-antral Communication in the Elderly[J]. Journal of Oral Science Research, 2024, 40(4): 321-324.

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