折叠式下斜方肌岛状肌皮瓣在颌面部洞穿性缺损的应用  

Use of lower trapezius musculocutaneous pedicle flap in repairing of maxillofacial region penetrating defect

作　　者：杜永军[1] 陈巨峰[1] 李庆生[1] 左中男[1] 冯祥生[1] 沈锐[1] 

机构地区：[1]广东佛山市第一人民医院整形外科,528000

出　　处：《中华整形外科杂志》2005年第6期423-425,共3页Chinese Journal of Plastic Surgery

摘　　要：目的探讨安全有效的面颊部洞穿性缺损的修复术。方法应用下斜方肌肌皮瓣制成纵向排列的双叶肌皮瓣进行转移修复,一叶肌皮瓣作为口腔衬里,另一叶肌皮瓣修复面部缺损,手术一次完成。结果12例折叠式下斜方肌肌皮瓣全部成活,术后随访6个月至3年,颌面部外形及功能改善良好,修复区不显臃肿,肿瘤无复发。结论折叠式下斜方肌肌皮瓣是较好的修复材料,可取得功能与外形良好的修复效果。Objective To investigate an safe and effective new technology （treatment） to repair maxillofacial region penetrating defect. Methods The lower trapezius musculocutaneous flap is parallel just like as two leaves which is connected to each other, and was folded to provide the liner of oral cavity and externel cover. Results Totally twelve folding lower trapezius musculocutaneous pedicle flap survived . Postoperative follow-up for 1 - 3 years, the patients restored the function as well as the shape of maxillofacial region. Conclusions The lower trapezius musculocutaneous pedicle flap is a suitable material for maxillofacial region reconstrution, further more , the successful rate is perfect.

关 键 词：颌面 洞穿性缺损 下斜方肌 肌皮瓣 

分 类 号：R782.2[医药卫生—口腔医学]