面颊部软组织缺损修复方式的应用比较  

Comparison of application on the reparative methods for the defects of buccal soft tissues

作　　者：张令达[1] 陈铸石[1] 颜雨春[1] 后军[1] 潘涛[1] 

机构地区：[1]安徽医科大学第一附属医院口腔外科,合肥230022

出　　处：《安徽医科大学学报》2001年第1期36-38,共3页Acta Universitatis Medicinalis Anhui

基　　金：安徽省卫生厅跨世纪学术与技术带头人培养经费资助

摘　　要：目的　探讨面颊部软组织缺损的最佳修复方式。方法　选择 40例面颊部鳞癌患者 ,36例病灶切除后缺损分别选用胸大肌皮瓣、胸锁乳突肌皮瓣、硬腭粘骨膜瓣、前额皮瓣、颈阔肌皮瓣、上斜方肌皮瓣、游离皮片等方式进行修复 ,4例直接拉拢缝合。结果　在 40例病例中 ,仅 2例瓣出现部分坏死 ,38例均获满意疗效。结论　面颊部软组织缺损依据缺损类型选用不同方式进行修复 。Objective To explore an ideal reparative method for the defects of buccal soft tissue. Methods 40 patients with carcinomas of buccal squamous cell were selected. The post operative defects of cheek of 36 cases were repaired with pectoralis major flap, sternodeidomastoid flap, hard palatal flap, frontal flap, latissimus colli flap, upper trapezius flap and free flap respectively. The defects of 4 cases were sutured directly. Results The ideal results were obtained in 38 cases. Partial necrosis of the flaps happened only in 2 cases.Conclusion An ideal result can be obtained in the reparation of postoperative defects of buccal soft tissues by different reparative methods.

关 键 词：软组织损伤 面部损伤 外科皮瓣 鳞状细胞癌 面颊部 

分 类 号：R739.81[医药卫生—肿瘤] R622.2[医药卫生—临床医学]