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本文介绍作者应用舌瓣修复口内软组织缺损的经验。 材料和方法 有不同口内软组织缺损的16名患者应用舌瓣进行修复,年龄16～65岁,平均39.6岁。舌瓣根据缺损的大小和部位进行设计,其中外伤缺损4例,肿瘤术后缺损4例,口腔鼻腔瘘和口腔上颌窦瘘4例以及其它类型缺损4例。皮瓣设计为:舌背前蒂瓣4例,前蒂侧方瓣4例,后蒂侧方瓣4例,舌背后蒂瓣3例,前蒂半舌瓣1例。皮瓣宽度为缺损宽度,包含深层肌肉。供区用3～0线直接缝合。术后限制舌运动,限制张口2日,进流质,有的病人也可采用颌间固定。术后9～14日断蒂,剩余舌的功能及美观情况通过问卷调查
This article describes the author's experience with flap repair of soft tissue defects in the mouth. Materials and Methods Twenty-six patients with different soft tissue defects in the mouth were repaired with a flap, aged 16-65 years with an average of 39.6 years. The flap was designed according to the size and location of the defect, including 4 cases of traumatic defect, 4 cases of postoperative tumor defect, 4 cases of oral nasal fistula and oral maxillary sinus fistula and 4 cases of other types of defects. The flaps were designed as follows: 4 cases of pedicled anterior valve flap, 4 cases of anterior pedicle lateral flap, 4 pedicled lateral pedicel flap, 3 cases of posterior pedicle flap and 1 case of anterior pedicle flap. The width of the flap is the width of the defect, which contains the deep muscle. For the area with 3 to 0 direct suture. Postoperative limit of tongue movement, limit mouth 2, into the liquid, and some patients may also use intermaxillary fixation. After 9 to 14 days off the pedicle, the remaining tongue function and aesthetic situation through the questionnaire