游离组织瓣修复全下唇及颏部大范围缺损临床研究  

The application of free tissue flap in the reconstruction of total lower lip and chin defects

作　　者：徐大朋[1] 薛雷[1] 孙宁宁[1] 李刚[1] 刘子玫 王绪凯[1] 

机构地区：[1]中国医科大学口腔医学院口腔颌面外科,辽宁省口腔医学研究所口腔颌面外科研究室,沈阳110002

出　　处：《中国实用口腔科杂志》2014年第11期679-682,共4页Chinese Journal of Practical Stomatology

摘　　要：目的探讨游离皮瓣在全下唇及颏部大范围缺损修复重建中的应用价值及临床效果。方法 2007年7月至2013年3月,对中国医科大学口腔医学院口腔颌面外科收治的12例下唇癌根治术后及2例外伤造成的全下唇及颏部缺损患者,应用前臂皮瓣和股前外侧皮瓣同期修复。术后随访6个月至3年,并对患者修复后下唇外观和功能进行评价。结果 14例皮瓣全部成活,成活率100%。术后随访下唇癌患者肿瘤未见复发,14例患者均可进行基本正常的语言交流;12例可进普食,2例进软食;1例流涎,均无小口畸形。下唇及颏部外观患者均能接受。结论应用游离皮瓣修复全下唇及颏部缺损,方法安全可靠且成功率较高,根据下唇及颏部缺损范围选择合适修复方式可获得较好的口腔功能和外观。ObjectiveTo investigate the clinical value and results of free tissue flap for simultaneous total lower lip and chin reconstruction after lower lip and chin defects caused by cancer or trauma.MethodsRadial forearm flaps and anterolateral thigh flaps were used in immediate reconstruction for different defects after lower lip cancer resection or trauma in 14 patients. The appearance and function of the lower lip were assessed during the follow-up period of 6 months to3 years.ResultsThere was a 100% survival of the flaps during postoperative follow-up;no recurrence was observed and all patients had normal or near-normal speech.Twelve of 14 patients were able to resume a regular diet;the remaining two patients could only have a soft diet. One of the patients complained of drooling and none developed microstomia.The aesthetic results were acceptable to the patients.ConclusionImmediate total lower lip reconstruction with free tissue flap is a reliable method with high success rate. Flaps selection based on different lower lip and chin defects can achieve good oral competence and appearance.

关 键 词：游离组织瓣 全下唇及颏部缺损 修复 

分 类 号：R78[医药卫生—口腔医学]