摘要
目的:评价斜方肌骨肌皮瓣修复口腔软组织和半侧下颌骨切除术后缺损的可靠性。方法:10例口腔、颌骨恶性肿瘤患者行半侧下颌骨和累及的软组织手术切除,术后缺损采用斜方肌骨肌皮瓣修复。男6例,女4例,年龄45～79岁,平均年龄61.2岁。T4N0M0期3例,T4N1M0期7例。皮瓣大小为(7cm×6cm)～(16cm×8cm)。结果:8例患者皮瓣全部成活。2例患者皮瓣边缘略有坏死。随访观察7～24个月,7例患者生存良好,无复发;1例患者死于肝、肺转移;2例患者术后复发,行二次手术,目前尚存活。结论:斜方肌骨肌皮瓣是一种修复口腔软组织和下颌骨半侧切除遗留的巨大缺损可靠的方法。
PURPOSE： To assess the reliability and reconstructing hemimandibular and oral soft tissue defects usefulness of the trapezius osteomyocutaneous island flap for METHODS： Ten hemimandibular and oral soft tissue defects were repaired with trapezius osteomyoeutaneous island flap after resection of the oral and mandibular malignant tumors. Among them ,6 patients were males and 4 patients were females; the age of the patients ranged from 45 to 79 years.Three patients were classified as T4N0M0, and seven patients were classified as T4N1M0.The sizes of the skin paddle ranged from （7cm×6cm）to （16cm×8cm）. RESULTS： The postoperative outcome for trapezius osteomyocutaneous island flap was survival in 8 cases, including 2 cases with minimal partial necrosis.Seven of them were alive with no disease, two are alive with disease,and one died of lung and liver metastasis. CONCLUSIONS： The trapezius osteomyocutaneous island flap is reliable for reconstructing hemimandibnlar and oral soft tissue defects following the ablation of advanced oral malignant tumors.
出处
《中国口腔颌面外科杂志》
CAS
2009年第4期322-325,共4页
China Journal of Oral and Maxillofacial Surgery
关键词
斜方肌骨肌皮瓣
下颌骨缺损
口腔癌
口咽癌
Trapezius osteomyocutaneous island flap
Mandibular defect
Oral tumor
Oropharyngeal cancer
