游离皮瓣在口腔颌面部肿瘤术后缺损修复中的应用及并发症影响因素研究进展  

Research Progress on Application of Free Skin Flap in Reconstruction of Postoperative Defects of Oral and Maxillofacial Tumors and the Influencing Factors of Complications

作　　者：刘智丹(综述) 吴发印(审校) LIU Zhidan;WU Fayin(Department of Oral and Maxillofacial Surgery,the Fifth Affiliated Hospital of Zunyi Medical University(Zhuhai),Zhuhai 519100,Guangdong,China)

机构地区：[1]遵义医科大学第五附属(珠海)医院口腔颌面外科,广东珠海519100

出　　处：《中国美容医学》2022年第10期199-201,共3页Chinese Journal of Aesthetic Medicine

摘　　要：口腔颌面部肿瘤是常见病、多发病,任何年龄均可发生。目前,提倡以手术为主的综合治疗,口腔颌面区域术后会出现较大的组织缺损,对患者吞咽、发音等功能造成影响,还会加重患者的心理负担,干扰患者的日常生活。因此,根治性切除病变组织的同时,选择何种组织瓣进行修复,以最大限度地恢复患者损伤区域的外观和功能,是口腔颌面外科医生面临的首要问题。近30年来,随着显微外科技术的飞速发展,游离皮瓣在口腔颌面肿瘤术后缺损修复中成功率可达95.0%,且游离皮瓣与传统的带蒂组织瓣相比在减少并发症方面的优势也更为突出,已逐渐成为口腔颌面部肿瘤术后组织缺损修复的主要选择。Oral and maxillofacial tumors is a common disease,frequently-occurring disease,all can happen at any age,at present,advocates the predominantly surgical comprehensive treatment,postoperative oral and maxillofacial region will appear larger tissue defect,affect patients with swallowing,pronunciation,and other functions,also can aggravate the psychological burden of patients,interfere with the patients’daily life.Therefore,it is a primary problem for oral and maxillofacial surgeons to select the tissue flap for repair while radical resection of the diseased tissue,so as to restore the appearance and function of the injured area to the maximum extent.Nearly 30 years,with the rapid development of microsurgical technique,free flap in oral and maxillofacial cancer postoperative defect repair success rate can reach 95.0%,and the free skin flap with pedicle flap of traditional advantages in reducing complications than also is more outstanding,has gradually become the main tumor tissue defect repair of oral and maxillofacial region.

关 键 词：口腔颌面部肿瘤 游离皮瓣 组织缺损修复 并发症 

分 类 号：R782.4[医药卫生—口腔医学]