上颌窦恶性肿瘤术后颞肌瓣Ⅰ期修复眶底及硬腭缺损1例  

One-stage reconstruction of orbital floor combine hard palate defect with the temporalis muscle flap after malignant tumor of maxillary sinus opreation:a case report

作　　者：王奥维 时文杰 WANG Aowei;SHI Wenjie(Graduate Shool of Tianjin University of Traditional Chinese Medicine,Tianjin,301617,China;Department of Otorhinolaryngology Head and Neck Surgery,Affiliated Haikou Hospital of Xiangya Medical College,Central South University)

机构地区：[1]天津中医药大学研究生院,天津301617 [2]中南大学湘雅医学院附属海口医院耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2022年第6期473-475,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：1例老年男性患者诊断为左侧上颌窦嗅神经母细胞瘤,完整切除肿瘤并行左侧上颌骨全切术,同期同侧颞肌瓣修复眶底、硬腭缺损。在3个月的随访中,患者术后恢复好。术后鼻窦CT提示左侧上颌窦术区黏膜光滑,未见异常隆起黏膜。颞肌瓣Ⅰ期修复是上颌窦恶性肿瘤切除术后上颌骨缺损的一种较好选择,尤其对于侵袭眶底和硬腭的患者。An elderly male case of olfactory neuroblastoma in the left maxillary sinus,who underwent complete resection of the tumor and total maxillectomy.Ipsilateral temporalis muscle flap was used to repair orbital floor and hard palate defects.During the 3-month follow-up,the patient recovered well.It is suggested that one-stage reconstruction with temporalis muscle flap is a good choice for the repair of maxilla defect after resection of maxillary sinus carcinoma,especially in case of invasion of orbital floor and hard palate.

关 键 词：上颌窦肿瘤 修复外科手术 嗅神经母细胞瘤 颞肌瓣 

分 类 号：R739.62[医药卫生—肿瘤]