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目的:对9例上颌骨缺损即刻整复的病例进行回顾性分析。方法:选择9例牙龈癌或腭癌患者,行上颌骨次全切除术后采用额瓣即刻整复上颌骨缺损,均未同期作选择性颈淋巴清扫术。结果:组织瓣完全成活8例,腭部组织瓣部分坏死1例,术后随访1~5年。8例组织瓣完全成活者语言及吞咽功能正常,进食时无食物鼻瘘及呛咳现象,1例额瓣部分坏死者遗留口鼻瘘采用膺复体修复。结论:额瓣血供丰富、制备简单、适用于即刻整复上颌骨缺损,以隔离口鼻腔及恢复生理功能和面外形。
Objective: To retrospectively analyze 9 cases of maxillofacial defects immediately repaired. Methods: Nine patients with gingival or palatal carcinoma were selected. Maxillary defects were reconstructed immediately after total subtotal maxillofacial resection. No selective neck dissection was performed in the same period. Results: Tissue flap fully survived in 8 cases and palatal flap partially necrotic in 1 case. The patients were followed up for 1 to 5 years. 8 cases of complete survival of the valve flap and swallowing function of normal, no food when eating nasal fistula and cough, 1 case of partial necrosis of the left mouth and nose and fistula using cadaver prosthesis repair. Conclusion: The blood supply of the flap is plentiful and its preparation is simple. It is suitable for the immediate reconstruction of the maxillary defect to isolate the mouth and nasal cavity and restore the physiological function and facial contour.