颏下蒂岛状肌皮瓣在面颊部软组织缺损修复重建中的临床应用  

Clinnical Application of Submental Pedicle Island Musculocutaneous Flap in the Repair and Reconstruction of Soft Tissue Defect in Cheek

作　　者：明华伟[1] 袁宗毅[1] 张兴安[1] 贾佳欣 王华东[1] 陈方园 谭小尧[1] 何芸[2] MING Huawei;YUAN Zongyi;ZHANG Xing’an;JIA Jiaxin;WANG Huadong;CHEN Fangyuan;TAN Xiaoyao;HE Yun(Department of Oral and Maxillofacial Surgery,the Second Clinical Medical College of North Sichuan Medical College,Nanchong Central Hospital,Nanchong 637000,Sichuan,China;Department of Stomatology,the Second Clinical Medical College of North Sichuan Medical College,Nanchong Central Hospital,Nanchong 637000,Sichuan,China)

机构地区：[1]川北医学院第二临床医学院·南充市中心医院口腔颌面外科,四川南充637000 [2]川北医学院第二临床医学院·南充市中心医院口腔科,四川南充637000

出　　处：《中国美容医学》2025年第3期38-41,共4页Chinese Journal of Aesthetic Medicine

基　　金：四川省基层卫生事业发展研究中心课题(编号:SWFZ20-C-081);南充市科技局市校科技战略合作项目(编号:20SXQT0261)。

摘　　要：目的:探讨颏下蒂岛状肌皮瓣在面颊部软组织缺损修复重建中的临床应用价值。方法:选取2018年5月-2023年5月笔者医院口腔颌面外科手术治疗的11例面颊部皮肤恶性肿瘤患者,肿瘤扩大切除后遗留的组织缺损采用颏下蒂岛状肌皮瓣I期修复重建,供区直接拉拢缝合,术后随访6~24个月。结果:11例颏下蒂岛状肌皮瓣全部成活,肿瘤无复发、转移,颜面部外形基本对称,肌皮瓣色泽、质地优良,无张口受限、下唇外翻畸形发生,患者较为满意。结论:颏下蒂岛状肌皮瓣制备简单,血管蒂恒定,供区比较隐蔽,是修复面颊部软组织缺损的理想选择之一。Objective To investigate the clinical application value of submental pedicle island musculocutaneous flap in the reconstruction of soft tissue defect of cheek.Methods A total of 11 patients who underwent cheek skin malignancies were selected from May 2018 to May 2023 of oral and maxillofacial surgery in the author's hospital.The tissue defects which came from extensive tumor resection were repaired and reconstructed by submental pedicle island musculocutaneous flap,and the donor site was directly pulled and sutured.The postoperative follow-up was 6-24 months.Results All the submental pedicle island musculocutaneous flaps of patients survived without tumor recurrence or metastasis.The facial appearance was basically symmetrical.The musculocutaneous flaps had good color and texture,and no month opening restriction or lower lip valgus deformity occurred.Conclusion The submental pedicle island musculocutaneous flaps is an ideal choice for the repair of soft tissue defect of the cheek,which is simple to prepare,constant vascular pedicle and concealment of donor site.

关 键 词：颏下岛状瓣 面颊部 缺损 颏下动脉 修复重建 

分 类 号：R622[医药卫生—整形外科]