颏下岛状肌皮瓣修复腮腺区及颞区缺损  

Parotid and Temporal Defect Restoration with Submental Musculocutaneous Island Flap

作　　者：钱叶梅 王卫红[1] 朱瑾[1] 邹智荣 俞力夫 罗磊 QIAN Yemei;WANG Weihong;ZHU Jin;ZOU Zhirong;YU Lifu;LUO Lei(Department of Oral and Maxillofacial Surgery, Affiliated Stomatology Hospital of Kunming Medical University, Kunming 650106, China;Department of Human Anatomy, School of Basic Medical Sciences, Kunming Medical University, Kunming 650031, China)

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 [2]昆明医科大学基础医学院解剖教研室,云南昆明650031

出　　处：《口腔医学研究》2021年第12期1115-1118,共4页Journal of Oral Science Research

基　　金：云南省卫健委医学领军人才项目(编号:L-201801);云南省省级创新团队项目(编号:202105AE160004)。

摘　　要：目的:探讨颏下岛状肌皮瓣修复腮腺区及颞区缺损的可行性及治疗效果。方法:在尸体上模拟解剖制备顺行及逆行颏下岛状肌皮瓣,评估修复腮腺区及颞区缺损的可行性。2014年11月~2020年12月,11例腮腺区恶性肿瘤术后缺损使用顺行颏下岛状肌皮瓣修复,2例颞区恶性肿瘤术后缺损使用逆行颏下岛状肌皮瓣修复。结果:无论是尸体解剖或临床手术中,顺行及逆行颏下岛状肌皮瓣的组织血管蒂可以分别满足修复腮腺区及颞区缺损。13例颏下岛状肌皮瓣均成活,功能及美观效果良好,供区无功能障碍。结论:顺行及逆行颏下岛状肌皮瓣组织血管蒂分别可以修复腮腺区及颞区缺损。Objective:To explore the feasibility and therapeutic effect of submental musculocutaneous island flap to restore parotid and temporal defects.Methods:The antegrade and reverse submental musculocutaneous island flaps were prepared by simulated anatomy on the cadaver,and the feasibility of repairing parotid and temporal defects was evaluated.From November 2014 to December 2020,the postoperative defects of 11 cases of malignant tumors in the parotid area were repaired with the antegrade submental musculocutaneous island flaps,and 2 cases of malignant postoperative defects of the temporal area were repaired with the reverse submental musculocutaneous island flaps.Results:Whether in autopsy or clinical operation,the tissue and vascular pedicles of the antegrade and reverse submental musculocutaneous island flaps could be used to repair parotid and temporal defects,respectively.All 13 cases of submental musculocutaneous island flaps survived,with good function and aesthetic effects.No functional impairment at the donor sites occurred in all cases.Conclusion:The submental musculocutaneous island flap is a feasible and acceptable technique for the reconstructions of parotid and temporal defects.

关 键 词：颏下岛状肌皮瓣 腮腺区缺损 颞区缺损 

分 类 号：R73[医药卫生—肿瘤]