舌骨下肌皮瓣修复口腔颌面部缺损  

Head and neck reconstruction using infrahyoid myocutaneous flaps

作　　者：孙长伏[1] 李瑞武[1] 

机构地区：[1]中国医科大学口腔医学院口腔颌面-头颈外科口腔颌面外科教研室,沈阳110002

出　　处：《中国实用口腔科杂志》2011年第12期716-720,共5页Chinese Journal of Practical Stomatology

摘　　要：近年来,随着显微外科技术的发展,越来越多的游离皮瓣被应用到口腔颌面部缺损的修复中去,甚至在很多单位游离皮瓣已经成为口腔颌面外科医生的第一选择。但是,并不是所有的患者都适合选择游离皮瓣,也不是所有的缺损都必须选择游离皮瓣才能获得良好的修复效果,因此,作为一名优秀的口腔颌面外科医生、头颈外科医生和修复重建医生必须掌握包括各种皮瓣在内的多种修复手段,并且能够在不同的情况下正确地选择不同的修复方法。舌骨下肌皮瓣被发现至今已逾30多年,是已经被时间所证明的优秀的皮瓣之一,它的皮肤颜色良好、厚度及组织量适宜、瘢痕较小、并发症少见,几乎可以修复咽、舌、口底的全部缺损。然而,关于舌骨下肌皮瓣的报道及经验交流最近却相对较少,本文旨在结合笔者的临床经验对舌骨下肌皮瓣的制取进行论述,希望能够对广大的口腔颌面外科医生、头颈外科医生和修复重建医生有益。In recent years, with the advancement of mierosurgical techniques, new free flap techniques offer great hope for the future of head and neck reconstruction. However, not all patients are suitable for a free flap reconstruction and not every defect strictly requires a free flap transfer to achieve a good functional result, which raises the necessity to find alternatives. Infrahyoid myocutaneous flap is a time-honoured method in head and neck reconstruction which can provide excellent skin colour, thickness and texture match, with cosmetically acceptable scars and less morbidity. Therefore, they are adapted to fit almost all defects of the pharynx, tongue and mouth floor. Despite these advantages, infrahyoid myocutaneous flap has received little attention in the literature.In this article, we present our experience in using this flap to expand the awareness and promote the application of it.

关 键 词：舌骨下肌皮瓣 头颈修复重建 

分 类 号：R78[医药卫生—口腔医学]