论文部分内容阅读
目的:探讨额部岛状瓣在老年口腔癌术后缺损修复重建中的应用价值。方法:对13例老年口腔癌患者施行根治性手术,同期用额部岛状瓣行术后缺损重建。其中,8例额瓣经颧弓下进入口腔,5例经颧弓外侧转移进入口腔,分别修复颊部、舌部、磨牙后区和口底黏膜区组织缺损,重建口腔功能。结果:13例皮瓣均全部成活,修复区形态及功能良好。前额部供区缺损游离移植皮片全部成活,但植皮区皮肤移动度稍差,术后1年皮片色泽接近正常,额部畸形不明显。随访6个月～2a,未见复发和转移。结论:额部岛状瓣适合于老年口腔癌术后组织缺损的修复重建,尤其是面积较大的组织缺损。
Objective: To investigate the value of forehead island flap in reconstruction and reconstruction of postoperative elderly patients with oral cancer. Methods: Thirteen elderly patients with oral cancer underwent radical surgery, the same period with the amount of island flap reconstruction postoperative defect. Among them, 8 cases of the valve petals entered the oral cavity under the zygomatic arch and 5 cases transferred to the oral cavity outside the zygomatic arch, repairing the defects of the buccal, lingual, posterior molar and mucosa of the oral mucosa, and reconstructing the oral cavity function. Results: All the 13 flaps survived, and the shape and function of the repair area were good. Forelimb donor defect allograft skin graft survival, but the skin graft skin movement slightly worse, 1 year after the skin color close to normal, forehead deformity is not obvious. Follow-up 6 months ~ 2a, no recurrence and metastasis. Conclusion: The frontal island flap is suitable for the repair and reconstruction of postoperative tissue defects in elderly patients with oral cancer, especially the large area of tissue defects.