口腔癌患者下颌骨重建术后钛板外露原因分析与后续治疗效果观察  

Analysis of the causes of titanium plate exposure after mandibular reconstruction in patients with oral cancer and the effect of follow-up treatment

作　　者：曹裕中[1] 廖涛[1] 谢思根 CAO Yu-zhong;LIAO Tao;XIE Si-gen(Department of Stomatology,The Secong Hospital of Sanming&The Fifth Affiliated Hospital of Fujian University of Traditional Chinese Medicine,Fujian Province,366000,China)

机构地区：[1]福建省三明市第二医院暨福建中医药大学第五临床医学院口腔颌面外科,福建永安366000

出　　处：《中国医疗美容》2020年第10期97-100,共4页China Medical Cosmetology

摘　　要：目的探讨口腔癌患者下颌骨重建术后钛板外露的原因,并观察后续治疗的效果以寻求解决与改进的办法。方法回顾分析12例口腔癌患者下颌骨重建术后钛板外露的临床资料,分析其钛板外露的原因,采用手术方法拆除重建板并修复软组织,观察后续愈合情况。结果12例患者钛板外露的主要原因有术后感染、放射治疗、软组织厚度不足等,经妥善治疗大部分可获得较好的临床效果。结论术后感染、放疗等多种因素与下颌骨重建后钛板外露有关。可予抗感染治疗并于术后10个月左右行手术取出重建板并可更换小型板是一种有效、安全、相对简单的方法,但是经过放疗的患者骨组织愈合较为困难。Objective To investigate the causes of titanium plate exposure after mandibular reconstruction in patients with oral cancer,and to observe the effect of follow-up treatment in order to seek solutions and improvements.Method The clinical data of 12 patients with oral cancer who underwent mandibular reconstruction with titanium plate exposure were analyzed retrospectively.The reconstruction plate was removed and the soft tissue was repaired by operation and the healing was observed.Result The main causes of titanium plate exposure in 12 patients were postoperative infection,radiation therapy and insufficient thickness of soft tissue.Conclusion Postoperative infection,radiotherapy and other factors related to the exposure of titanium plate after mandibular reconstruction.It is an effective,safe and relatively simple method to take out the reconstruction plate and replace the small plate about 10 months after the operation,but it is difficult for the bone tissue to heal after radiotherapy.

关 键 词：下颌骨缺损 下颌骨重建 坚固内固定 重建钛板 术区并发症 放疗 

分 类 号：R739.8[医药卫生—肿瘤]