侧颌颈皮瓣修复颧颞部恶性肿瘤术后软组织缺损

发布时间：2018-01-13 15:31

本文关键词：侧颌颈皮瓣修复颧颞部恶性肿瘤术后软组织缺损　出处：《中国修复重建外科杂志》2015年04期 　论文类型：期刊论文

【摘要】：目的总结应用侧颌颈皮瓣修复颧颞部恶性肿瘤切除术后软组织缺损的效果。方法 2010年10月-2014年2月,应用同侧侧颌颈皮瓣修复颧颞部皮肤癌术后软组织缺损5例。男2例,女3例;年龄50~74岁,平均65岁;病程3个月~5年,平均约18个月。肿瘤类型:基底细胞癌2例,鳞癌3例。瘤体位于颧颞相连部位,大小约3.5 cm×2.0 cm~7.0 cm×5.0 cm。病灶切除后皮肤软组织缺损范围为5.0 cm×3.5 cm~8.5 cm×6.0 cm。术中切取皮瓣范围8.5 cm×4.0 cm~12.0 cm×5.0 cm,蒂宽2.5~3.0 cm,长2.0~4.0 cm。结果术后皮瓣全部成活,供区切口均I期愈合。5例均获随访,随访时间6个月~2年,平均14.5个月。皮瓣色泽与受区皮肤相近;2例因蒂部稍宽,皮瓣蒂端转角有"猫耳朵"凸现,但颜面部外观整体满意。移位皮瓣耐受性好,皮瓣成活、软组织缺损创面完全修复后进一步放疗,放疗后皮瓣无溃疡、坏死。随访期间肿瘤无复发。结论侧颌颈皮瓣修复颧颞部恶性肿瘤切除后软组织缺损符合整形修复原则,且能耐受进一步放疗,是一种简便、安全、有效的治疗方法。
[Abstract]:Objective to summarize the effect of lateral maxillary cervical flap in repairing soft tissue defects after resection of malar and temporal malignant tumors. Methods from October 2010 to February 2014. The soft tissue defects were repaired by ipsilateral maxillary cervical flap in 5 patients with zygomatic-temporal skin cancer. The age ranged from 50 to 74 years (mean 65 years); The course of disease ranged from 3 months to 5 years (mean 18 months). The tumor types were basal cell carcinoma in 2 cases and squamous cell carcinoma in 3 cases. The tumor was located at zygomatic-temporal junction. The size is about 3.5 cm 脳 2.0 cm~7.0 cm 脳 5.0 cm 路cm. The area of soft tissue defect after excision is 5.0 cm 脳 3.5 cm~8.5. The area of the flap was 8.5 cm 脳 4.0 cm~12.0 cm 脳 5.0 cm. The pedicle width was 2.5 ~ 3.0 cm and the length was 2.0 ~ 4.0 cm. Results all the flap survived. All the donor incision were followed up for 6 months to 2 years. The average was 14.5 months. The skin color of the flap was similar to that of the recipient skin. In 2 cases, the pedicle was slightly wider and the pedicle angle was "cat ear" protruding, but the facial appearance was satisfactory. The skin flap had good tolerance, the flap survived, and the soft tissue defect wound was repaired completely and further radiotherapy was given. There was no ulcer and necrosis of the flap after radiotherapy and no recurrence of tumor during follow-up. Conclusion the repair of soft tissue defects after resection of zygomatic-temporal malignant tumor with lateral maxillary cervical flap is in accordance with the principle of plastic repair and can tolerate further radiotherapy. It is a simple, safe and effective treatment.
【作者单位】：皖南医学院弋矶山医院创伤骨科;安徽医科大学附属巢湖医院烧伤整形科;
【分类号】：R739.5
【正文快照】： 颧颞部是人体面部容貌的重要组成部位,该处皮肤恶性肿瘤治疗较棘手,术中既要彻底切除病灶,防止局部复发,又要顾及创面修复后如何尽量恢复其正常形态和功能以及能耐受治疗等。2010年10月-2014年2月,我们应用同侧侧颌颈皮瓣修复颧颞部皮肤癌术后软组织缺损5例,获较满意疗效。报

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