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腭重建的临床意义及其方法探讨

The clinical significance of palate reconstruction and exploration of the methods
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摘要 本文介绍34例腭部组织缺损的整复方法和临床效果。作者认为:腭组织缺损引起患者生理功能障碍,继而导致心理缺陷,不利于患者康复。颞肌筋膜瓣应用于硬腭和软腭组织缺损的重建,效果良好。胸大肌肌皮瓣适宜伴有翼颌区大量组织缺损的腭重建,不宜应用于单纯的腭缺损。腭瓣具有硬腭粘骨膜相同的特征,成活力强,旋转角度大,耐受放射治疗,供区不遗留畸形,其双岛瓣整复腭部洞穿性缺损,方法简单,值得提倡。 The paper describes the methods and results of palatoplasty in 34 patients. The author suggests that the palate defect cause physological deficiency of the patient and in turn incur psychological impediment, which interfere with the restoration of patients. The temporalis myofascial flap presents good effect in closing the hard and the soft palate defects. The pectoralis major musculocutaneous flap is suitable for palatoplasty with pterygomandibular region defect but not suitable for the palate defect alone. The palate flap has the same characters as that of mucoperiosteum of the hard palate with strong vitality and big rotation angle and endure radiotherapy; The donor area does' t remain deformity; The penetrating defect reconstructed by the double island flap is simple and the method deserves advocacy.
出处 《现代口腔医学杂志》 CAS CSCD 1998年第4期299-301,共3页 Journal of Modern Stomatology
关键词 腭重建 组织缺损 Palate Reconstruction Tissue defect
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