薄型游离股前外侧皮瓣修复舌癌术后缺损

发布时间：2018-04-16 15:16

本文选题：薄型股前外侧皮瓣 + 移植　；参考：《广东医学》2015年10期

【摘要】：目的探讨薄型股前外侧皮瓣修复舌癌术后软组织缺损的效果。方法选择舌鳞状细胞癌患者21例,依据术后软组织缺损的部位及形状设计薄型股前外侧皮瓣,分析皮瓣存活情况及术后皮瓣修复效果。结果21例薄型股前外侧皮瓣完全存活,1例发生血管危象,经手术探查后存活。切取皮瓣面积最大9 cm×6 cm,最小7cm×4 cm。术后随访6~48个月,舌形态良好,咀嚼、吞咽、发音功能恢复较好。供区无运动感觉功能障碍。结论应用薄型股前外侧皮瓣修复舌癌术后软组织缺损是一种有效的方法,修复后舌的功能和外形恢复较为理想,且供区隐蔽,是修复舌癌术后软组织缺损的理想选择。
[Abstract]:Objective to study the thin anterolateral thigh flap for the repair of soft tissue defects after tongue cancer. Methods 21 cases of patients with squamous cell carcinoma of the tongue, on the basis of postoperative soft tissue defect position and shape design of the thin anterolateral thigh flap, flap repairing effect and postoperative survival analysis. Results 21 cases of the thin anterolateral thigh flap completely survived. Vascular crisis occurred in 1 cases, by surgical exploration. The survival of flaps 9 cm * 6 cm * 4 cm. 7cm, the minimum follow-up for 6~48 months, a good tongue, chewing, swallowing and pronunciation function recovered well. No donor sensorimotor dysfunction. Conclusion the application of thin anterolateral soft tissue the lateral skin flap to repair the defect of tongue cancer after surgery is an effective method for repairing tongue appearance and function recovery is ideal, and the hidden donor to repair soft tissue defects after tongue cancer is ideal.

【作者单位】：泸州医学院附属口腔医院口腔颌面外科、口颌面修复重建和再生实验室;
【基金】：国家自然科学基金资助项目(编号:81371125) 四川省应用基础研究计划项目(编号:2014JY0044) 2010年度泸州医学院第一批纵向科研课题计划(编号:10ZB030)
【分类号】：R739.86

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