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口腔缺损的鼻唇沟瓣重建术:附18例报告

Nasolabial flap reconstruction of oral cavity defects: a report of 18 cases.

作者信息

Ducic Y, Burye M

机构信息

Department of Otolaryngology-Head and Neck Surgery at the University of Texas South Western Medical Center, Dallas, USA.

出版信息

J Oral Maxillofac Surg. 2000 Oct;58(10):1104-8; discussion 1108-9. doi: 10.1053/joms.2000.9564.

DOI:10.1053/joms.2000.9564
PMID:11021703
Abstract

PURPOSE

This article describes the successful use of pedicled nasolabial flaps in the reconstruction of various oral cavity defects with or without adjunctive microvascular free tissue transfer.

PATIENTS AND METHODS

Twenty-eight flaps were performed in 18 patients, for a variety of oral cavity defects.

RESULTS

All flaps healed without evidence of necrosis, infection, or dehiscence. Patient satisfaction with this procedure was high. The use of the nasolabial flap appears to provide an improvement in overall functional outcome.

CONCLUSIONS

The inferiorly based nasolabial flap provides reliable coverage of intermediate-sized oral cavity defects when used alone. It can improve mastication and speech when used in conjunction with microvascular free tissue transfer for the reconstruction of large combined defects of the tongue and floor of mouth.

摘要

目的

本文描述了带蒂鼻唇瓣在重建各种口腔缺损中的成功应用,无论是否辅助微血管游离组织移植。

患者和方法

18例患者共进行了28次皮瓣手术,用于修复各种口腔缺损。

结果

所有皮瓣均愈合,无坏死、感染或裂开迹象。患者对该手术的满意度较高。鼻唇瓣的使用似乎改善了整体功能结果。

结论

单独使用时,蒂在下的鼻唇瓣可为中等大小的口腔缺损提供可靠的覆盖。与微血管游离组织移植联合用于重建舌和口底的大型联合缺损时,它可改善咀嚼和言语功能。

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