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口腔的解剖以及口腔内细菌引起感染的特点,是口腔内癌瘤手术后遗留大缺损的修复的最大障碍。到目前为止,都用带蒂的皮瓣或额部皮瓣。近年来在身体的很多部位成功的应用了游离皮瓣移植,但在口腔内移植,仅有一例报告,且未成功。作者用游离腹股沟皮瓣封闭猪的口腔大块缺损,取得良好结果,鼓舞作者用这种皮瓣给癌切除术后的4名患者修复口腔缺损,无论术前或术后放疗与否,这些皮瓣都获得成功。
Oral anatomy and bacteria in the mouth caused by infection is the biggest obstacle to the repair of large defects left after oral cancer surgery. So far, pedicled flaps or forehead flaps have been used. In recent years, many parts of the body successfully applied the free flap transplantation, but in the oral transplantation, only one case reported, and unsuccessful. The authors used free inguinal flaps to seal large oral cavity defects in pigs and achieved good results encouraging the authors to repair the oral defects in 4 of the patients who had undergone cancer resection regardless of radiotherapy or not before and after surgery The petals are successful.