大型带蒂肌皮瓣修复口腔颌面肿瘤术后缺损.pdfVIP

· 14· 医药论坛杂志 2007年12月 第28卷 第23期 大型带蒂肌皮瓣修复口腔颌面肿瘤术后缺损木 李新明，王海斌，何 巍，赵军方，孙明磊 郑州大学第一附属医院口腔颌面外科 郑州市 450052 摘要 目的 应用大型带蒂瓣修复口腔颌面复杂性缺损。方法 7例额瓣和2例胸大肌肌皮瓣分别修复9 例口腔颌面恶性肿瘤术后缺损，缺损最大面积6cm×5cm，最小面积4cm×4．5cm；修复洞穿性缺损所用折叠皮瓣最 大面积达5cm×1lcm。结果 额瓣转移术后早期表现瘀血；胸大肌肌皮瓣早期表现缺血；9例肌皮瓣全部成活，形 态和功能满意。结论 额瓣或胸大肌肌皮瓣修复口腔颌面部大面积、复杂性缺损是比较简便、实用的方法。 关键词 额瓣；胸大肌肌皮瓣；口腔颌面缺损；同期修复 中图分类号：R739．81 文献标识码：A 文章编号：1672—3422(2007)23-0014-03 Construction of Oral and Maxillofacial Defect after Operation with Massive Pedicle Myocutaneous Flap LI Xinming，WANG Haibin，HE Wei，et al Department of Oral and Maxillofacial Surgery，First Affiliated Hospital of Zhengzhou Univenily，Zhengzhou 450052，China ABSTRACT Objective To repair oral and maxillofacial complex defect with massive pedicle muscle and skin flap．Methods Total 7 cases of forehead flap and 2 cases of pectoral major myocuta— neous flap were seperately used to repair 9 patients who had been operated for vicious tumor．The most area 0f the defect is 6 am x 5 am．and the least is 4cm×4．5cm in 9 cases．The most area of folded flap with repairing hole defect reaches 5 am x 1 1 am．Results Blood clot appear in early stage after forehead flap transferred．Lack of blood appear in early stage for pectoral major myocutaneous flap transfering．The flaps of 9 cases are all surviving．Shape and function are entirely satisfied．Conclusion Forehead flap and pectoral major myocutaneous flap can be applied to repair larger，complex oral and maxillofacial defect． KEY WORDS Forehead flap；Pectoral major myocutaneous flap；Oral and maxillofacial de— fect：repair in same term 口腔颌面肿瘤根治性手术后常遗留组织缺 1 资料与方法 损，使口腔颌面部的形态和功能受到严重影响。 口腔内组织瓣及颌面滑行皮瓣的组织量有限，对 1．