论文部分内容阅读
目的:研究颈阔肌肌皮瓣在口底恶性肿瘤切除术后口底组织缺损即刻修复中的应用价值。方法:对9例口底恶性肿瘤切除后遗留的口底组织缺损行颈阔肌肌皮瓣修复,其中6例口底鳞癌患者修复与颈淋巴清除术同期进行,1例同时行下颌骨矩形方块切除,3例为舌下腺腺样囊性癌患者行口底局部扩大切除术。结果:9例颈阔肌肌皮瓣全部成活;3例在肌皮瓣尖端与舌腹部黏膜组织间出现裂开,长2.0～3.0cm,给予清创重新缝合后愈合;3例皮瓣远端少许淤血,未影响愈合。术后6个月复查,所有患者皮瓣收缩不明显,所修复的口底形态及舌体活动功能良好。结论:颈阔肌肌皮瓣血供丰富、解剖恒定可靠、邻近口腔、制作方便、简单快捷和成功率高,是修复口底组织缺损的一种安全选择。
Objective: To study the application value of platysma myocutaneous flaps in the immediate repair of oral mucosal defects after resection of oral mucosa. Methods: Nine cases of mucosal myofascial flap defect were repaired in 9 cases of oral floor defect after resection of oral mucosa. Among them, 6 cases of floor squamous cell carcinoma were reconstructed with neck dissection and 1 case with mandibular rectangle Square excision, 3 cases of subacute adenoid cystic carcinoma patients underwent endoscopic partial expansive resection. Results: All 9 myocutaneous myocutaneous flaps survived. In 3 cases, dehiscence occurred between the myocutaneous flaps and the tongue and abdomen mucosa. The dehiscence occurred 2.0 ~ 3.0 cm long, A little congestion, did not affect healing. 6 months after the review, all patients with no significant contraction of the flap, the repair of the mouth shape and tongue activity good. CONCLUSION: Myofascial myocutaneous flap is rich in blood supply, consistent and reliable anatomy, close to the oral cavity, easy to manufacture, simple and quick, and high success rate. It is a safe choice to repair the defect of oral floor.