侧胸皮瓣在颌面部缺损修复中的应用  

The application of lateral thoracic flap in reconstruction of maxillofacial defects

作　　者：徐兵[1] 沈国芳[1] 史俊[1] 王旭东[1] 唐友盛[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院·口腔医学院口腔颌面外科,上海市口腔医学研究所,上海200011

出　　处：《中国口腔颌面外科杂志》2007年第4期257-260,共4页China Journal of Oral and Maxillofacial Surgery

基　　金：上海市重点学科(优势学科)建设项目(Y0203)~~

摘　　要：目的:评价侧胸皮瓣在颌面部缺损修复中的价值。方法:2004～2006年间对17例颌面部软组织缺损患者实施侧胸皮瓣缺损修复术,其中男12例,女5例,平均年龄48.4岁。所有患者均制作单纯侧胸皮瓣或侧胸皮瓣复合肩胛骨肌瓣,游离后进行小血管吻合术,最后修复缺损的术区。结果:除1例患者因支配动脉纤细而出现表皮坏死外,其余患者的皮瓣全部成活,经过3～32个月的随访,外形修复效果较好,供区切口隐蔽、瘢痕小。结论:利用侧胸皮瓣修复颌面部缺损,可以改善患者术后的生存质量,值得临床推广。PURPOSE： This study aims to evaluate the usefulness of lateral thoracic flap in reconstructing maxillofacial defects to improve the quality of life of the patients. METHODS： 17 cases with soft tissue defects in the maxillofacial region, caused by various disease, were collected during 2003-2006. The age of these patients ranged from 29-71 years （48.4 in average）, the ratio of male to female was 12：5. The lateral thoracic flap or combined with the scapular flap were applied to reconstruct the defect of soft tissue and/or bone tissue. RESULTS： All the flaps survived except one case which presented necrosis of the epidermis resulting from the too fine supplying artery. After 3-32 months＇ follow up, the morphology of the reconstructed region was satisfied, and the scar in the donate site was unconspicuous. CONCLUSIONS： The application of thoracic flap is a better choice to improve quality of life of the patients compared with other free flaps traditionally used in clinic, and this donor site is recommended. Supported by Shanghai Leading Academic Discipline Project （Grant No.Y0203）.

关 键 词：侧胸皮瓣 血管化 游离组织瓣 口腔颌面部缺损 

分 类 号：R782.2[医药卫生—口腔医学]