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本文介绍应用颞肌筋膜瓣整复颌面部恶性肿瘤切除后的组织缺损。通过6例患者的手术治疗和观察,证明以颞肌筋膜瓣整复腭咽侧,颊,口底部位的组织缺损,效果良好。作者认为,整复腭部组织缺损时,保留软腭后缘及悬雍垂的完整性,术后患者语音良好;涉及舌根部的腭,咽侧,磨牙后区组织缺损,要求组织瓣宽松,避免因舌运动而致伤口裂开;切除颊部病变组织,要求基底部平坦一致。作者还阐述了颞肌筋膜瓣的血供情况及其灵活多用的特征,为临床应用提供了初步经验。
This article describes the use of temporal fascia flap resection of maxillofacial malignant tumor resected tissue defects. Through the operation and observation of 6 patients, it was proved that the temporal defect of the palatopharyngeal, buccal and oral floor was reconstructed with the temporal fascia flap and the effect was good. The author believes that the repair of palatal tissue defects, the retention of the soft palate and uvula integrity, postoperative patients with good voice; involving the base of the tongue palate, pharynx, posterior molar tissue defects, requiring tissue flap loose, to avoid Due to tongue movement caused by wound dehiscence; removal of buccal lesions, requiring flat base uniform. The author also described the blood supply of the temporal fascia flap and its flexible and versatile features, providing preliminary experience for clinical application.