摘要
【目的】评价面颈胸旋转皮瓣复合颞肌筋膜瓣修复恶性肿瘤扩大切除手术后颊部大面积洞穿缺损的效果。【方法】8例颊部恶性肿瘤(原发鳞状细胞癌4例,复发鳞状细胞癌和皮肤基底细胞癌各2例)扩大手术切除术后,分别用颞肌筋膜瓣和面颈胸旋转皮瓣修复颊部黏膜皮肤缺损。【结果】无感染,无失败病例,外形满意。经6个月至24个月随访,有1例肿瘤复发,全部病者存活。【结论】面颈胸旋转皮瓣复合颞肌筋膜瓣修复颊部肿瘤切除术后大面积洞穿缺损的效果理想。
[ Objective ] To evaluate the results of facio-cervico-pectroral rotation flap （FRF） and temporal myofascial flap （TMF） used to repair through-and-through cheek defect following extensive surgical dissection of buccal malignant tumors. [Methods] Eight patients with buccal malignant tumors （4 squamous cell carcinomas, 2 recurrent sarcomas cell carcinomas and 2 recurrent basal cell carcinoma ） were treated by extensive surgical dissection, and the buccal mucosa have been repaired with the TMF and the large buccal skin defect have been reconstruction with the FRF. [ Results ] No infection was encountered. There was no case of total flap failure. The results of facial aesthetics were satisfactory in all patients. Follow-up periods varied from 6 to 24 months, all of the patients survived. One patient＇s tumor recurred. [Conclusion] Combining the FRF with the TMF is feasible for repairing extensive through-and-through cheek defects following extensive surgical dissection of buccal malignant tumors.
出处
《中山大学学报（医学科学版）》
CAS
CSCD
北大核心
2006年第4期442-444,共3页
Journal of Sun Yat-Sen University:Medical Sciences
关键词
口腔颌面肿瘤/外科学
面颈胸旋转皮瓣
颞肌筋膜瓣
颊缺损
修复
oral and maxiUofacial tumor/surgery
facio-cervico-pectoral flap
temporal myofascial flap
buccal defect
reconstruction
