颌面部皮肤癌切除及邻近组织瓣修复缺损的疗效观察  

Desection and reconstruction of skin cancer in maxillofacial region

作　　者：闫长安 高岭[2] 刘春喜 郅克谦[2] 张军[4] 

机构地区：[1]陕西省博爱医院口腔科,陕西西安710065 [2]西安交通大学口腔医学院口腔颌面外科 [3]西安铁路医院口腔科 [4]陕西省人民医院口腔科

出　　处：《中国美容医学》2009年第9期1281-1282,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨颌面部皮肤癌手术切除后修复的疗效观察。方法:42例颌面部皮肤癌患者根据病灶部位和大小,应用直接拉拢、游离皮片移植和邻近随意皮瓣等方法进行修复,术中做冰冻切片决定手术切缘。结果:所有病例均一期愈合,外形满意。2例低分化鳞癌术后,发生肺转移,1年后死亡。结论:颌面部皮肤癌术中切缘冰冻可以保证肿瘤的完全切除。根据患者具体情况选择不同修复方法,其中邻近组织瓣修复有较为满意的效果。Objective To investigate reconstructed methods and clinical effects of maxillofacial skin cancer. Methods Forty-two patients with maxillofacial skin cancer were repaired with different surgical measures, such as direct closure, skin graft and random flaps.All resection margins were checked by intraoperative frozen section. Results All defects were closed primarily,the facial appearance and function were satisfied,followed-up for 6 months to 3 years,2 patients with poorly differentiated squamous cell carcinoma died due to the occurrence of lung metastases after one year. Conclusion It＇s important to ensure complete removal of tumor by intraoperative frozen section. The method for repair of the postoperative defect should be individualized and random flap could obtain better cosmetic results.

关 键 词：颌面部皮肤癌 修复 临床疗效 

分 类 号：R782.2[医药卫生—口腔医学]