双皮岛游离前臂皮瓣在腭部大型洞穿性缺损修复中的应用  

Application of double skin island free forearm flap in the repair of large perforating defect of palate

作　　者：宋梓维 伋琳 周航宇 张磊 夏德林 SONG Ziwei;JI Lin;ZHOU Hangyu;ZHANG Lei;XIA Delin(Department of Oral and Maxillofacial Surgery,the Affiliated Stomatological Hospital of Southwest Medical University,Luzhou,646000,China;Department of Oral and Maxillofacial Surgery,the Affiliated Hospital of Southwest Medical University)

机构地区：[1]西南医科大学附属口腔医院口腔颌面外科,四川泸州646000 [2]西南医科大学附属医院口腔颌面外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2019年第12期1165-1167,1172,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨双皮岛游离前臂皮瓣在修复腭部大型洞穿性缺损中的应用价值。方法:应用双皮岛游离前臂皮瓣修复6例因口腔恶性肿瘤导致腭部大型洞穿性缺损患者。术前通过Allen实验及超声多普勒检查判断前臂血管的情况。结果:6例双皮岛游离前臂皮瓣均存活,随访3~24个月,患者进食功能正常,吞咽无鼻腔反流,有轻中度鼻音,对术后效果及生活质量满意。结论:双皮岛游离前臂皮瓣修复腭部大型洞穿性缺损方法可靠,形态功能满意,效果良好。Objective:To explore the value of free forearm flap with double skin island in repairing large perforating defect of palate.Method:The free forearm flap with double skin island was used to repair 6 cases of large perforating palatal defect due to oral malignant tumor.Preoperative Allen test and ultrasound doppler examination were used to judge the forearm vessels.Result:All the free forearm flap with double skin island survived in 6 cases,followed up for 3 months to 24 months,the patients ate normally,swallowing without nasal regurgitation.The patients had mild to moderate nasal sounds,and the patients were satisfied with the effect of operation and the quality of life.Conclusion:The double skin island free forearm flap is a reliable method for repairing large perforating defect of palate,with satisfactory morphological function and good effect.

关 键 词：双皮岛前臂皮瓣 腭部缺损 修复外科手术 

分 类 号：R782.2[医药卫生—口腔医学]