应用岛状颊肌粘膜瓣修复部分舌缺损  

Partial tougue reconstruction with the buccal myomucosal island flap

作　　者：马婷婷[1] 唐欣[1] 秦永平[1] 赵振民[1] 

机构地区：[1]中国医学科学院北京协和医学院整形外科医院,北京100144

出　　处：《中国美容医学》2008年第12期1726-1729,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探索一种用相同或相似组织修复舌缺损的方法,介绍岛状颊肌粘膜瓣修复部分舌缺损的经验。方法:应用以面动静脉为蒂的岛状颊肌粘膜瓣修复16例舌癌切除后的部分舌缺损。结果:16例患者术后岛状颊肌粘膜瓣全部完全成活,效果满意。无血肿、感染、腮腺导管损伤、面神经损伤和开口功能障碍等并发症,舌的形态、功能良好。1例半舌切除后的患者术后肌电图显示,颊肌粘膜瓣内的肌肉获得神经再支配且运动良好。结论:面动静脉岛状颊肌粘膜瓣组织学上类似于舌组织,血运丰富,转移灵活,可以获得神经再支配,有重建舌的运动功能的潜能,是修复舌缺损的一个良好选择。Objective To explore a method for tongue reconstruction with same or similar tissue and to introduce the experience in using the buccal myomucosal island flap in partial tougue reconstruction. Methods Sixteen patients with partial tougue defect after tougue glossectomy were treated by using the buccal myomucosal island flap pedicled with facial arteries and veins. Results The flap was successfully used for partial tongue reconstruction in 16 patients, and all flaps have survived without complications. Satisfactory results （including configuration and function of the neotongue） were achieved. Electromyographic studies performed on one patient with half glossectomy revealed reinnervation of the muscle in the flap with active motion of the reconstructed tongue. Conclutions The buccal musculomucosal island flap based on the facial artery and vein is a better reconstruction option and, with the addition of the reinnervated flap, offers the potential for improved physiologic motion.

关 键 词：岛状颊肌粘膜瓣 舌缺损 舌再造 

分 类 号：R622[医药卫生—整形外科]