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1977年,Egyedi首先报道应用带蒂颊脂垫封闭口腔上颌窦瘘和口腔鼻腔的洞穿并用断层皮片覆盖颊脂垫的口腔侧。Tideman认为不覆盖带蒂颊脂垫,移植后1～4周内创面自然上皮化,不必用断层皮片覆盖创面。本文介绍了3例不覆盖带蒂颊脂垫移植封闭上下颌缺损。病例1 女,52岁,印第安人,自左下双尖牙至磨牙区中度分化鳞癌,切除肿块及周围正常粘膜约1 cm和部分牙槽骨,标本切缘无肿瘤。沿左下颌升支前方作一切口,游离颊脂垫并轻轻地将带蒂颊脂垫牵向缺损区并缝合固定,虽术后放疗6周但颊脂垫瓣完全上皮化,
In 1977, Egyedi first reported the use of a pediatric buccal fat pad to close the oral maxillary sinus fistula and oral nasal cavities and to cover the oral side of the buccal fat pad with a cutaneous flap. Tideman does not consider covering the pediatric buccal fat pad. The wound naturally epithelizes within 1 to 4 weeks after transplantation. It is not necessary to cover the wound with a cutaneous flap. This article describes the three cases of uncovered pedicle fat pad closure of maxillary and mandibular defects. Case 1 Female, 52 years old, Indians, moderately differentiated squamous cell carcinoma from the lower left bicuspid to the molar area. About 1 cm and some alveolar bone were removed from the tumor and the surrounding normal mucosa. There was no tumor at the margin of the specimen. Along the left mandibular lumbar anterior incision for a free, free buccal fat pad and gently bring the pedicle buccal fat pad to the defect area and suture fixation, although postoperative radiotherapy for 6 weeks, but the buccal fat pad completely epithelialization,