摘要
目的:探讨下颌骨肌瓣联合面颈胸旋转皮瓣修复下颌骨放射性骨坏死清创术后下颌骨合并颊部软组织缺损的效果。方法:采用下颌骨肌瓣联合面颈胸旋转皮瓣修复6例因难治性下颌骨放射性骨坏死清创术后缺损。结果:应用下颌骨肌瓣联合面颈胸旋转皮瓣修复下颌骨放射性骨坏死清创术后缺损,所有皮瓣均存活良好,未出现供区并发症。所有患者语言、吞咽功能良好,面部外形满意。随访16～24个月,平均20.6个月,患者病情均无复发。结论:下颌骨肌瓣联合面颈胸旋转皮瓣制备简单、快速,适合同期修复下颌骨放射性骨坏死清创术后下颌骨"L"形缺损合并颊部软组织缺损。
PURPOSE： This study evaluated the reliability of using local pedicled mandibular osteomuscular and facial-cervico-pectoral flaps to fill defects of both the mandible and cheek following debridement.METHODS： Six patients with refractory osteoradionecrosis of the mandible underwent radical resection and reconstruction of L-shaped defects with combined pedicled mandibular osteomuscular and facial-cervicopectoral flaps.RESULTS： All flaps survived.The function and aesthetics were satisfactory for both the patient and surgeon,and no donor-site problems occurred.The patients were followed for an average of 20.6 months（range 16-24 months） and recurrence was not encountered.CONCLUSION： The pedicled mandibular osteomuscular and facial-cervico-pectoral flaps are technically simple,fast to harvest.These flaps enabled reconstruction of both composite L-shaped defects of the mandible and soft-tissue defects of the cheek following debridement.
出处
《中国口腔颌面外科杂志》
CAS
2012年第2期151-154,共4页
China Journal of Oral and Maxillofacial Surgery
关键词
放射性骨坏死
下颌骨肌瓣
面颈胸旋转皮瓣
下颌骨重建
Osteoradionecrosis
Mandibular osteomuscular flap
Facial-cervico-pectoral flap
Reconstruction of the mandible
