胸大肌肌皮瓣在口腔颌面部大型软组织缺损中的应用  

Application of pectoralis major myocutaneous flap in large oral and maxillofacial region defects

作　　者：付光新[1] 李静言[1] 夏德林[1] 陈利琼[2] 

机构地区：[1]泸州医学院附属医院口腔颌面外科,四川泸州646000 [2]四川省资中县人民医院口腔科,641200

出　　处：《重庆医学》2011年第19期1892-1893,1896,共3页Chongqing medicine

摘　　要：目的探讨胸大肌肌皮瓣在口腔颌面部大型软组织缺损的修复方法及治疗效果。方法应用胸大肌肌皮瓣修复口腔颌面部大型软组织缺损15例。其中口腔颌面部恶性肿瘤12例,口腔颌面部软组织严重损伤伴缺损3例。肌皮瓣面积为(5 cm×6 cm)～(8 cm×11 cm)。结果 15例胸大肌肌皮瓣有13例完全成活,1例部分皮瓣坏死,1例完全坏死。13例形态功能良好。结论胸大肌肌皮瓣血管蒂恒定,血液循环丰富,提供组织量大,操作简单,供区可直接缝合,是修复口腔颌面部大型缺损的有效方法,安全、可靠、成活率高。Objective To explore the method and the effect of pectoralis major myoeutaneous flap reconstructing large defects of tumor and injury in oral and maxillofacial region.Methods 15 cases of pectoralis major myoeutaneous flaps reconstructing large oral and maxillofacial defects of tumors and injuries were analyzed.There were 12 cases of malignant tumors and 3 cases of injuries in oral and maxillofacial region.The square meter of the pectoralis major myoeutaneous flaps were 5 cm×6 cm-8 cm×11 cm.Results 13 of the 15 cases survived completely.1 case survived partly and 1 case was complete necrosis.13 cases had good shape and function.Conclusion The pectoralis major myocutaneous flap is effective method to reconstruct the large defect in oral-maxillofacial region.The flap is safe,credible and high-ratio of survival,which has fixed vessel,plenty of blood supply.It provides enough tissue and operates simply,whose providing region can be sutured directly.

关 键 词：胸大肌肌皮瓣 颌面部肿瘤 颌面部损伤 修复重建 

分 类 号：R739.8[医药卫生—肿瘤]