胸锁乳突肌肌皮瓣修复下颌牙龈癌术后缺损临床分析  

Sternocleidomastoid Myocutaneous Flap for Reconstruction of Soft Tissue Defect after Mandibular Gingival Carcinoma

作　　者：冼淡[1] 王磊[1] 陈巨峰[1] 李嘉朋[1] 李金[1] 张国润 

机构地区：[1]佛山市第一人民医院口腔科,广东佛山528000

出　　处：《中国美容医学》2017年第5期104-106,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨胸锁乳突肌肌皮瓣修复下颌牙龈癌术后缺损的临床效果。方法:回顾性分析15例下颌牙龈癌患者,其中T_1N_0M_0 6例,T_2N_0M_0 7例,T_2N_1M_0 2例,采用胸锁乳突肌肌皮瓣进行修复治疗,其中5例同期使用重建钛板修复,术后6个月~5年门诊随访。结果:15例患者中,14例术后创口Ⅰ期愈合,1例远端部分发生坏死,经碘仿纱填塞换药后肉芽组织生长修复,14例肿瘤无复发,无转移,1例术后8个月局部复发。结论:采用胸锁乳突肌肌皮瓣修复下颌牙龈癌术后缺损方法简单、创伤小,临床效果良好。Objective To explore the clinical effect of sternocleidomastoid myocutaneous flap for repairing mandibular gingival carcinoma postoperative defect. Methods 15 cases of patients with mandibular gingival cancer were retrospectively analyzed,including 6 cases of T1N0M0,T2N0M07 cases,T2N1M02 cases,using sternocleidomastoid myocutaneous flap to repair the defect,including 5 cases reconstruction using titanium plate at the same time.All patients were followed-up for 6 months to 5 years after surgery. Results 14 of 15 cases gained phase I healing,1 case suffered distal part necrosis following iodoform gauze tamponade before phase Ⅱ granulation healing. 14 cases have no recurrence or metastasis.1 case had local recurrence after 8 months. Conclusion Using sternocleidomastoid myocutaneous flap to repair postoperative defect after mandibular gingival carcinoma is a simple and effective method with smaller trauma.

关 键 词：下颌牙龈癌 胸锁乳突肌肌皮瓣 下颌骨缺损 修复 疗效分析 

分 类 号：R782.4[医药卫生—口腔医学]