游离股前外侧肌皮瓣修复上颌骨恶性肿瘤术后缺损  

Reconstruction of Maxillary Defect using Free Anterolateral Thigh Myocutaneous Flap through Modified Lateral Lipsubmandibular Approach

作　　者：徐邢环宇 王卫红[1] 许彪[1] 朱谨[1] 夏斌[1] 刘屿[1] 施延安[1] 

机构地区：[1]昆明医科大学附属口腔医院口腔颌面外科,云南昆明650106

出　　处：《口腔医学研究》2017年第12期1295-1297,共3页Journal of Oral Science Research

基　　金：云南省医疗卫生单位内设研究机构科研项目(编号:2016NS115);昆明医科大学科技创新团队项目(编号:CXTD201607);昆明医科大学科技创新团队项目(编号:CXTD201711)

摘　　要：目的:探讨通过改良口角颌下切口入路及应用游离股前外侧皮瓣修复上颌骨恶性肿瘤术后Ⅱ类缺损的临床效果。方法:对2012年5月~2016年12月在我科行游离股前外侧肌皮瓣修复上颌骨恶性肿瘤术后Ⅱ类缺损12例患者进行回顾性分析。结果:11例皮瓣完全成活,1例皮瓣完全坏死。无面瘫症状,言语功能恢复良好。随访6个月~5年,患者面部外形恢复满意,无局部复发及淋巴结转移。结论:游离股前外侧肌皮瓣组织量充足,制备简单,供区并发症少,修复上颌骨恶性肿瘤术后Ⅱ类缺损,可以维持患者面部形态,临床效果满意。Objective： To demonstrate the reconstruction of maxillary Ⅱ defect using free anterolateral thigh myo- cutaneous flap through modified lateral lip--submandibular approach. Methods： Between May 2012 and December 2016, twelve patients suffering from subtotal maxillary defects, who underwent maxillary reconstruction using free anterolateral thigh flap through modified lateral lip--submandibular approach, were recruited in this study. Results.. Healing courses were uneventful in twelve patients. The patients had good speech function without facial paralysis. They were satisfied with face appearance except of one patient, who encountered the necrosis of the flap. Conclu- sion： Reconstruction of maxillary Ⅱ defect using free anterolateral thigh myocutaneous flap is a feasible and accepta- ble technique.

关 键 词：游离股前外侧肌皮瓣 上颌骨Ⅱ类缺损 改良口角颌下切口 

分 类 号：R739.8[医药卫生—肿瘤]