面动脉为蒂的鼻唇沟岛状皮瓣修复口腔颌面部软组织缺损17例分析  

Reconstruction of soft tissue defects of the oral and maxillofacial region with nasolabial fold island flap based on the facial artery:Clinical analysis of 17 consecutive cases

作　　者：卢新华[1] 刘海涛[1] 徐拥军[1] 夏刚[1] 叶明华[1] 

机构地区：[1]九江市第一人民医院口腔颌面外科,江西九江332000

出　　处：《中国口腔颌面外科杂志》2006年第5期345-348,共4页China Journal of Oral and Maxillofacial Surgery

摘　　要：目的:总结以面动脉为蒂的鼻唇沟岛状皮瓣转移修复口腔颌面部软组织缺损的经验。方法:自1997年4月～2006年2月,对17例口腔颌面部软组织缺损,以解剖学研究为基础,采用以面动脉为蒂的鼻唇沟岛状皮瓣进行整复。其中恶性肿瘤13例,良性肿瘤1例,外伤性面部缺损3例。结果:17例患者,口腔、面部等创口一期愈合,皮瓣成活率100%。随访6个月～9a,肿瘤未见复发,皮瓣生存良好,色泽正常,外观形态满意,语言与咀嚼等生理功能良好,面部、取瓣区无明显畸形。结论:以面动脉为蒂的鼻唇沟岛状皮瓣与鼻唇沟皮下蒂瓣相比,具有血供丰富、成活率高、弹性好、收缩小的优点,而且皮瓣取材范围增大,移位距离延长,活动度更灵活。只要临床应用条件许可,当是优先选用的修复材料。PURPOSE： The purpose of this study was to summarize the experiences of using nasolabial fold island flap based on the facial artery in reconstruction of soft tissue defects of the oral and maxillofacial region due to tumor operation or trauma. METHODS： From April 1997 to February 2006, 17 patients underwent reconstruction of oral and maxillofacial soft tissues defects with nasolabial fold island flap based on the facial artery. Among them, 13 had malignant tumor, 1 had benign tumor and 3 had trauma . Nasolabial fold island flap was designed individually, with the minimal size of 3.0cm×3.0cm,and the maximal size of 4.5cm×4.5cm. RESULTS： All the 17 flaps survived well after operation and the wounds healed primarily. No recurrence was noted during the follow up period （6 months to 9 years）. The colour and the texture of the flap matched well to the adjacent tissues with satisfactory cosmetic and functional results. CONCLUSION： Nasolabial fold island flap pedicled on the facial artery is a good option for small and middle sized soft tissue defects of the oral and maxillofacial region. It enlarged the rotating range of the nasolabial fold flap. The flap is recommendable for its consistent pedicle, good flexibility and abundant vascular supply.

关 键 词：面动脉 鼻唇沟岛状皮瓣 口腔颌面部缺损 

分 类 号：R782.2[医药卫生—口腔医学]