舌下腺瓣修复临床Ⅱ期慢性黄磷性颌骨骨髓炎和药物相关性颌骨坏死术后缺损  

Repair of postoperative defects in chronic phaseⅡphosphorous osteomyelitis and medication-related osteonecrosis of the mandible by sublingual gland flap

作　　者：谢荣举 王卫红[1] 许彪[1] 朱瑾[1] 钱叶梅 李静宜 张洪荣 XIE Rongju;WANG Weihong;XU Biao;ZHU Jin;QIAN Yemei;LI Jingyi;ZHANG Hongrong(Department of Oral and Maxillofacial Surgery,Affiliated Stomatology Hospital,Kunming Medical University,China,650106)

机构地区：[1]昆明医科大学附属口腔医院口腔颌面外科,650106

出　　处：《实用口腔医学杂志》2024年第3期407-411,共5页Journal of Practical Stomatology

基　　金：云南省卫生健康委员会医学领军人才项目(编号:L-201801);云南省创新团队项目(编号:202105AE160004)。

摘　　要：目的:探讨利用舌下腺瓣修复临床Ⅱ期慢性黄磷性颌骨骨髓炎(PNJ)和药物相关性颌骨坏死(MRONJ)术后颌骨缺损的临床效果。方法:利用舌下腺瓣修复慢性下颌骨坏死术后颌骨缺损的5例患者。其中慢性黄磷性颌骨骨髓炎3例,药物相关性颌骨坏死患者2例。结果:5例患者临床检查评价治疗效果,术后2周内创口愈合良好,无感染,舌下腺功能正常。结论:利用舌下腺瓣修复慢性黄磷性颌骨骨髓炎和药物相关性颌骨坏死术后下颌骨缺损有效可行。Objective:To investigate the clinical outcomes of sublingual gland flap in the repair of postoperative jaw defects because of chronic phosphorous osteomyelitis(PNJ)and medication-related osteonecrosis of the jaw(MRONT).Methods:3 patients with PNJ and 2 with MRONJ were treated by sublingual gland flap in the repair of the postoperative jaw defet.The treatment effects were evaluated by clinical obseration.Results:In the 5 patients the wound healed well within 2 weeks postoperatively,with no infection and with normal sublingual gland function after surgery.Conclusion:The use of sublingual gland flap is an effective and feasible method for repairing local defects in the mandibles after surgery for chronic PNJ and MRONJ.

关 键 词：黄磷性颌骨骨髓炎 药物相关性颌骨坏死 下颌骨部分缺损 舌下腺瓣 

分 类 号：R782[医药卫生—口腔医学]