腭部岛状瓣在重建磨牙后区缺损中临床应用.docVIP

腭部岛状瓣在重建磨牙后区缺损中临床应用（1滨州医学院附属医院口腔颌面外科 山东 滨州 256600; 2山东省广饶县中医院口腔科 山东 东营 257000; 3济南市口腔医院 山东 济南 250000） 【摘要】目的：评价腭部岛状瓣在重建因肿瘤切除导致的磨牙后区组织缺损中的临床应用。方法：回顾性分析我科2001年5月～2010年8月收治21例腭部岛状瓣修复磨牙后区缺损患者， 男女比例为：16/5, 平均年龄45岁（24～ 74岁），肿物良性恶性比例为：4/17。缺损范围3cm ×2 cm～5cm ×3cm。所有病例均采用腭部岛状瓣修复缺损部位，术后2至5天（平均3.5天）行口腔进食。结果：20例病例获得一期愈合，1例获得二期愈合。所有病例供区未出现术后并发症；21例患者经6个月～7年的随访，腭部岛状瓣修复区粘膜与附近正常及对侧粘膜的层次和颜色、弹性、光滑度、质地无明显差异, 咀嚼摩擦和食物刺激无明显影响。结论：修复磨牙后区缺损，腭部岛状瓣易于制取，是一种可靠的方法。 【关键词】腭部岛状瓣 ；磨牙后区重建 ；肿瘤切除 Palatal island flap used for reconstruction of retromolar defects Li jikui Zuo jinhua Li Xiaopeng xu jie 【Abstract】Objective:To evaluate the use of palatal island flap（PTF） in reconstruction of retromolar defects resulting from ablative tumor resections. Methods: we have retrospectively reviewed 21consecutive cases between May 2001 and August 2010 which palatal island flap（PTF） were used for the primary reconstruction of retromolar defects. The male: female ratio of the cases is 16:5 The median age is 45 years （range 24?74 years），the benign:m alignant ratio of neoplasm is 4:17. the defect area is from 3cm ×2cm to 5cm ×3cm. local PTF were performed on 21patients. All cases began an oral diet between postoperative days 2 and 5 （mean3.5 days）. Results: 20 cases achieved to 1-stage reconstruction;1 case achieved to a 2-stage reconstruction , all patients were not found postoperative donor site complications. Each local PTF was as well as neighbouring and contralateral natural mucosa in layering、colour、elasticity、smoothness、texture、rubbing of chewing and stimulation of food.. 21cases in 6 months to 7 years long time’s follwing up. Conclusions: The PTF is easily harvested and offers a reliable method of primary reconstruction for limited lesions of the retromolar defects. 【Keywords】Palatal Island Flap ；Reconstruction of Retromolar ；Ablative Tumor 【中图分类号】R782.2【文献标识码】A【文章编号】1008-6455（2011）06-0046-02 腭部岛状瓣（PTF）最初在二十世纪早期被法国Victor Veau描述［1］；1977年后重建肿瘤切除导致的磨牙后区组织缺损才被Gulane 和 Arena医生应用于临床［2］