摘要
目的评价应用下颌下区面动脉岛状肌皮瓣修复口腔颌面部组织缺损的临床效果。方法选择2007年3月—2015年8月期间应用下颌下区面动脉岛状肌皮瓣修复96例口腔颌面部组织缺损的临床资料作回顾分析,其中顺行面动脉瓣46例,逆行面动脉瓣50例。观察患者近、远期临床效果,包括受区缺损情况、组织瓣成活情况、外形和功能,以及术后并发症。结果下颌下区面动脉岛状肌皮瓣总成功率为96.9%（93/96）,顺行皮瓣成功率为95.7%（44/46）, 逆行皮瓣成功率为98.0%（49/50）。术后随访0.5~6 a,肌皮瓣受区外观及质地良好,语言及吞咽功能理想,供区瘢痕隐蔽;1例患者出现肿瘤复发;3例出现对侧颈淋巴结转移。结论下颌下区面动脉岛状肌皮瓣可作为颌面部中、小型缺损修复较理想的选择,操作简单易行,其中逆行面动脉岛状肌皮瓣皮瓣不仅可修复颌面部中上1/3的组织缺损,且成活率高,美容效果理想。
PURPOSE： To evaluate the clinical effect of facial artery island flap for immediate reconstruction of oral and maxillofacial defects. METHODS： From March 2007 to August 2015, the clinical data of 96 patients with facial artery island flap for reconstruction of oral and maxillofacial defects were recorded and analyzed, including 46 patients undergoing anterograde facial artery flap and 50 patients undergoing reversed facial artery flap. The short-term and long-term clinical effect, including receipt site, flap survival, facial appearance and function, and postoperative complications were investigated. RESULTS： The overall success rate for facial artery island flap was 96.9%（93/96）, 95.7% for anterograde flap （44/46）, and 98.0% for reversed flap （49/50）. All patients were followed up for six months to 6 years. The facial appearance and flap texture were satisfied. The speech and swallowing function was ideal. The scar was concealed. One patient had cervical recurrence, three had contralateral cervical lymph node metastasis. CONCLUSIONS： The facial artery island flap of submandibular area can be used to repair maxillofacial defects of medium and small sizes. The operation is simple. The reversed facial artery flap is suitable to repair upper one-third of maxillofacial defect, the survival rate is high and cosmetic outcome is ideal.
出处
《上海口腔医学》
CAS
CSCD
2016年第4期492-496,共5页
Shanghai Journal of Stomatology
基金
广东省韶关市卫生计生科研计划项目(Y15156)
广东省韶关市科技计划项目
关键词
面动脉
岛状皮瓣
缺损
修复
Facial artery
Island flap
Defect
Repair
