腭大动脉岛状黏骨膜瓣修复腭缺损的临床应用  

The clinical application of arteriae palatina major mucoperiosteal island flap on repairing palate defect

作　　者：黄盛兴[1,2] 张国权[1,2] 孙海鹏[1,2] 汤剑明[1,2] 

机构地区：[1]暨南大学第二临床医学院 [2]深圳市人民医院口腔颌面外科,深圳518020

出　　处：《中华口腔医学研究杂志（电子版）》2012年第6期42-44,共3页Chinese Journal of Stomatological Research(Electronic Edition)

基　　金：深圳市科技计划(201002007)

摘　　要：目的探讨腭大动脉岛状黏骨膜瓣修复腭缺损的方法与疗效。方法采用腭大动脉岛状黏骨膜瓣修复22例腭缺损,同期修复20例,二期修复2例,观察术后缺损愈合及语音情况。结果 22例患者无组织瓣坏死,19例一期愈合,缺损区外形与语音功能恢复满意,3例组织瓣部分边缘愈合不良。结论对4cm范围内的腭缺损采用腭大动脉岛状黏骨膜瓣同期修复方法简便,疗效满意。Objective To introduce the method and effect of palate defect repairing with arteriae palatiua major mucoperiosteal island flap. Methods 22 cases of palate defects patients （less than 4 cm） received reconstruction with arteriae palatina major mucoperiosteal island flap. 20 out of 22 cases received immediate reconstruction and 2 received secondary reconstruction. The healing effect was observed after operation. They received self-evaluation of speech and deglutition function evaluation by doctors. Results There is no flap necrosis in all the 22 cases. Flap and defect margin healed completely, defect area appearance achieved satisfactory recovery and there was no change of speech function in 19 cases. Partial flap margin had a poor healing of 3 cases. Conclusions Arteriae palatina major island mucoperiosteum flap is a simple method in the simultaneously repairing of palate defect （less than 4 cm）. There is no secondary injury and the effect is satisfactory.

关 键 词：腭缺损 腭大动脉 膜岛黏骨状瓣 腭修复术 

分 类 号：R782.2[医药卫生—口腔医学]