下唇正中-颌下入路在上颌骨切除术中的运用  

Application of Lower Lip and Submandibular Approach in Full Maxillectomy

作　　者：袁分钱[1] 喻大军 叶华秀 陈雯[1] 周何强[1] YUAN Fenqian;YU Dajun;YE Huaxiu(Jiangxi Cancer Hospital,Nanchang,330029)

机构地区：[1]江西省肿瘤医院,330029 [2]江西省靖安县中医院,330602 [3]江西省赣州市赣县区人民医院,341100

出　　处：《实用癌症杂志》2020年第8期1291-1293,共3页The Practical Journal of Cancer

基　　金：江西省卫生计生委员会课题(编号:20175414)。

摘　　要：目的研究下唇正中-颌下手术入路在上颌骨切除术中的运用效果。方法12例患者采取下唇正中-颌下手术径路进行上颌骨切除手术,切口为下唇正中至颏下,再经颌下延及患侧乳突前下方。结果经过0.5~2年的术后随访观察,疗效满意。所有病例均无下睑水肿、睑外翻和泪溢,移植皮瓣全部成活,面部外形恢复良好。结论下唇正中-颌下入路用于上颌骨切除术,不仅可以充分暴露术区、完整切除上颌骨恶性肿瘤,还可以较满意地保持术后面部外形和功能,符合肿瘤外科、美容外科和功能外科原则。Objective To explore the effect of lower lip and submandibular approach in full maxillectomy.Methods twelve patients underwent maxillectomy in this new approach,and the excision line began from the middle of the lower lip,and the chin went through the mandibular margin to the anterior lower of the same lateral papillary.Results After the follow-up from 6 months to 2 years,the result have been proved satisfactory.In all cases,there was no lower eyelid edema,ectropion and lacrimal overflow.The flap survived and the facial shape recovered well.Conclusion This new surgical excision line design not only can exposes operation area clearly and remove maxilla cancer successfully,but also can reserves face shape and function satisfactorily.It accords with the principles of oncosurgery,esthetic surgery and functionary surgery.It is worthy to be recommended.

关 键 词：颌下入路 上颌骨切除术 外形和功能 

分 类 号：R739.8[医药卫生—肿瘤]