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目的通过对颞肌筋膜瓣即刻修复上颌骨缺损病例的回顾性分析,评价其效果。方法 2003年2月至2005年7月,9例患者因上颌骨肿瘤进行上颌骨部分切除,术后即刻采用颞肌筋膜瓣修复重建。观察颞肌筋膜瓣成活情况、术后语音以及吞咽功能的恢复状况。结果 8例组织瓣全部成活,1例组织瓣部分成活。患者语言、吞咽、咀嚼功能恢复基本满意。结论颞肌筋膜瓣修复上颌骨缺损安全可靠,是较为理想的方法。
Objective To retrospectively analyze the cases of immediate repair of the maxillary defect with temporomandibular fascia flap and evaluate its effect. Methods From February 2003 to July 2005, 9 patients underwent maxillary partial resection of the maxillary tumor. Immediate temporal fascia flap reconstruction was performed. To observe the temporal fascia flap survival, postoperative voice and swallowing recovery status. Results All of the eight tissue flaps survived, and one of the tissue flaps survived. Patient language, swallowing, chewing functional recovery basically satisfied. Conclusion Temporal myofascial flap for the repair of maxillary defects is safe and reliable, which is an ideal method.