锁骨上动脉岛状瓣修复颌面部肿瘤术后缺损的临床研究  

Clinical study of the reconstruction of the defect of maxillofacial region with the supraclavicular artery island flap

作　　者：陈仕生[1] 姚小武[1] 卢子正[1] 林敏校[1] 

机构地区：[1]汕头大学医学院第二附属医院口腔颌面外科,515041

出　　处：《中华口腔医学研究杂志（电子版）》2017年第2期106-110,共5页Chinese Journal of Stomatological Research(Electronic Edition)

摘　　要：目的探讨锁骨上动脉岛状瓣在颌面部肿瘤术后缺损的临床应用。方法回顾性研究2015年9月至2016年12月汕头大学医学院第二附属医院口腔科应用锁骨上动脉岛状瓣修复颌面部肿瘤术后缺损15例患者的临床资料,其中舌癌8例、口咽癌2例、颊癌4例、口底癌1例。UICC临床分期:T_2N_0M_02例、T_3N_0M_07例、T_3N_1M_04例、T_4N_1M_01例、T_4N_2M_01例。皮瓣大小4 cm×5 cm^7.5 cm×10 cm。结果 1例皮瓣完全坏死,2例皮瓣边缘部分坏死,其余13例全部存活,修复重建效果良好。结论锁骨上动脉岛状瓣可靠、稳定,是颌面部肿瘤术后缺损修复重建的理想选择。Objective To investigate the clinical application of the supraclavicular artery island flap （SCAIF） in the reconstruction of the defects following cancer ablation in maxillofacial region. Methods A retrospective study on the clinical data of 15 patients who underwent reconstruction of the maxillofacial region defect with SCAIF in the department of oral and maxillofacial surgery,the Second Affiliated Hospital of Medical College of Shantou University,from September 2015 to December 2016, including 8 cases of tongue carcinoma,2 cases of oropharyngeal cancer,4 cases of squamous cell carcinoma and 1 cases of carcinoma of the floor of mouth. UICC clinical stage：T2N0M02 cases,T3N0M07 cases,T3N1M0 cases,T4N1M01 cases,T4N2M01 cases. The sizes of the skin paddle ranged from 4 cm×5 cm to 7.5 cm ×10 cm. Results The SCAIF survived in fourteen cases（93.3%,14/15）,including two cases with minimal partial necrosis. 1 case of SCAIF was necrosis. Conclusion The supraclavicular artery island flap is an ideal choice for the reconstruction of the defect after cancer ablation.

关 键 词：修复外科手术 颌面部缺损 外科皮瓣 锁骨上动脉岛状瓣 

分 类 号：R739.81[医药卫生—肿瘤]