折叠延长下斜方肌岛状皮瓣修复面颊部巨大洞穿性缺损  

Reconstruction of through-and-through buccal defects with folded extended vertical lower trapezius island myocutaneous flap

作　　者：刘军平 陈伟良[2] 张大明[2] 

机构地区：[1]广东省东莞市寮步医院口腔科,广东东莞523400 [2]中山大学孙逸仙纪念医院口腔颌面外科,广东广州510120

出　　处：《中国口腔颌面外科杂志》2013年第1期52-55,共4页China Journal of Oral and Maxillofacial Surgery

摘　　要：目的:探讨应用折叠延长下斜方肌岛状皮瓣修复面颊部巨大洞穿性缺损的可行性。方法:16例(男10例,女6例,年龄17～75岁,平均年龄55.4岁)面颊部恶性肿瘤扩大切除后面颊部巨大洞穿性缺损患者,采用折叠延长下斜方肌岛状皮瓣修复。皮岛宽7～8 cm,长8～31 cm,折叠修复面颊部洞穿性缺损,恢复口腔内衬里及外侧颊部皮肤。结果:16例皮瓣全部成活。患者面颈部外观良好,口腔功能满意。结论:折叠延长下斜方肌岛状肌皮瓣可作为修复口腔恶性肿瘤根治术后所致面颊部巨大洞穿性缺损的首选皮瓣,其操作简便,安全可靠。PURPOSE： To explore the feasibility of folded extended vertical lower trapezius island myocutaneous flap （TIMF） for reconstructing large through-and-through buccal defects. METHODS： Sixteen （10 males and 6 females, 17 to 75 years of age, with a mean age of 55.4 years） through-and-through buccal defects were reconstructed following oral cancer ablation using the folded extended vertical lower TIMF. The skin paddle of the extended vertical TIMF flap was 7- 8 cm wide and 8-31 cm in length. The folded flap provided both inner and outer linings for through-and-through oral cavity defects. RESULTS： All flaps survived. The appearance of the head and neck was acceptable, and oral function was satisfactory. CONCLUSIONS： The folded extended vertical lower TIMF is a large, simple, and reliable flap preferred for reconstructing large through-and-through buccal defects following ablation of oral carcinoma.

关 键 词：颊缺损 洞穿性缺损 斜方肌皮瓣 带蒂皮瓣 

分 类 号：R739.8[医药卫生—肿瘤]