肌蒂型颈阔肌肌皮瓣在颊黏膜缺损修复中的应用

发布时间：2018-02-15 06:12

本文关键词： 颈阔肌肌皮瓣颊癌 MacFee切口颊黏膜缺损修复　出处：《华西口腔医学杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的探讨肌蒂型颈阔肌肌皮瓣(PMF)的主要特点、优点、皮瓣制备的改良措施,并评价其在颊黏膜缺损修复中的应用价值。方法选取2012年8月—2015年4月采用经MacFee切口的改良肌蒂型PMF修复因癌前病变及良恶性肿瘤切除导致的颊黏膜缺损23例。掀起皮瓣蒂部皮肤时,将大部分皮下脂肪置于颈阔肌表面;保持面动静脉的连续性;携带颈外静脉在颈阔肌的背面。结果 23例病例中21例皮瓣完全成活,2例皮瓣部分坏死,另有2例颈部伤口愈合不良,经换药处理均二期愈合。所有病例经11~43个月随访,受区功能恢复良好,除2例颈部伤口愈合不良病例遗留较大面积瘢痕外,其余病例颈部外形满意,无局部及颈部复发病例。结论和传统PMF比较,肌蒂型PMF可提供更大的皮岛面积,功能美学效果更佳,是修复颊黏膜缺损的一种新的理想选择。
[Abstract]:Objective to investigate the main characteristics, advantages and improved methods of the preparation of myotumically pedicled latissimus cervicalis myocutaneous flap. Methods from August 2012 to April 2015, 23 cases of buccal mucosal defects caused by precancerous lesions and benign and malignant tumor resection were repaired with modified muscular pedicle PMF through MacFee incision. When lifting the skin of the pedicle of the flap, Most of the subcutaneous fat was placed on the surface of the latissimus cervicis; the continuity of the facial arteriovenous vein was maintained; the external jugular vein was carried on the back of the latissimus jugular muscle. In addition, 2 cases of poor neck wound healing were treated by dressing change, all cases were followed up for 11 ~ 43 months, the function of the recipient area recovered well, except for 2 cases of poor neck wound healing, which left a large area of scar, and all the cases were followed up for 11 ~ 43 months. Conclusion compared with the traditional PMF, the muscle-pedicled PMF can provide a larger skin island area and better functional aesthetic effect. It is a new ideal choice for repairing buccal mucosal defects.
【作者单位】：中南大学湘雅医院口腔医学中心;
【基金】：国家自然科学基金面上项目(81041052,30572044)~~
【分类号】：R782.2

【相似文献】