颊脂垫瓣转移在腭部肿瘤切除缺损中的应用研究  

CLINICAL APPLICATION OF THE WITH BUCCAL FAT PAD AS A PEDICLED GRAFTIN ORAL RECONSTRUCTION

作　　者：陈关福[1,2] 樊立洁[1,2] 胡济安[1,2] 

机构地区：[1]浙江医科大学附属二院口腔颌面外科 [2]浙江医科大学口腔医学系口腔病理教研室

出　　处：《口腔颌面外科杂志》1999年第2期100-102,共3页Journal of Oral and Maxillofacial Surgery

摘　　要：目的：为进一步了解带蒂颊脂垫组织瓣的应用解剖及无覆盖颊脂垫在口腔内的愈合过程。方法：作者在尸体解剖和活体观察的基础上总结颊脂垫组织瓣的解剖特点，通过对用该组织瓣修复腭部缺损的６３例平均术后４年８个月的追踪观察，并对颊脂垫移植后的愈合过程进行了组织学观察。结果：口腔内无覆盖颊脂垫移植２周后开始逐渐上皮化，６～８周完成上皮化过程，再生的粘膜呈粉红色，类似于正常的口腔粘膜，５０％的病例愈合后粘膜存在轻度瘢痕。结论：该组织瓣血供丰富，解剖恒定，易于切取，供区与受区邻近，供区隐蔽，不影响外观及功能，为口腔内软组织缺损提供了一种新的修复方法。Purpose: To introduce the applied anatomy of the buccal fat pad(BFP) as a pedicle graf and healing process of uncovered BFP graft. Methods: Cadaver dissection and observation on the body were performed to sum up the features of the BFP as a pedicle graft and it was used to repair soft tissue defects after the resection of oral tumors.Clinicla application 63 patients(mean followup 4 yeaes 8 months). Results: The uncovered BFP graft to eventual epithelialization by oral mucosa after 68 weeks,The healed mucosa exhibited sligh scarring in 50% of cases. Conclusions: The advantages of the BFP graft are:the anatomicla region is consistantly,and easy to excise,the operation can be perfromed only by one incision,good site appearance with minimal functional loss.The procedure may be a new method for oral soft tissue defect reconstruction.

关 键 词：颊脂垫 移植 口腔粘膜肿瘤 切除术 

分 类 号：R739.850.5[医药卫生—肿瘤] R782.22[医药卫生—临床医学]