Timoşca G H, Gogălniceanu D, Streba P, Barna M, Popescu E
Clinica de Chirurgie maxilo-facială Iaşi.
Rev Med Chir Soc Med Nat Iasi. 1991 Jan-Jun;95(1-2):21-4.
In 6 cases of tumors, two gigantic benign and four malignant in T4 having palatal and gingivo-alveolar starting point with invasive evolution into the structure of facial mass, surpassing the median alignment, the authors consider the problem concerning the indications for exeresis, possibilities of removal of healthy tissue and the reconstruction of massive losses of substance. The surgical treatment of reconstruction that completes the exeresis of the tumor is meant to sustain the ocular globe through a aponeurotic-muscular flap form the temporal muscle, with the aid of nasal septum or a skin graft also used to obtain a good coating of the cavity, and is also meant to a plastic reconstruction of the soft palate as well as to retention modelling of the cavity fields which resulted postsurgically. The main role in maxillofacial reconstruction in held by the obturator prosthesis that avoids morphofunctional prejudices and restores facial contour, without aesthetic and psychic prejudices. The results obtained in our 6 cases shown here have been fully satisfactory.
在6例肿瘤病例中，2例为巨大良性肿瘤，4例为T4期恶性肿瘤，肿瘤起源于腭部和牙龈牙槽，呈浸润性生长，侵入面部肿物结构，超过中线，作者考虑了肿瘤切除指征、健康组织切除可能性以及大量组织缺损重建等问题。完成肿瘤切除后的重建手术治疗旨在通过颞肌的腱膜-肌肉瓣维持眼球，借助鼻中隔或皮肤移植以良好覆盖腔隙，还旨在对软腭进行整形重建以及对术后形成的腔隙区域进行塑形。闭孔假体在颌面重建中起主要作用，可避免形态功能损害并恢复面部轮廓，且无美学和心理损害。此处展示的我们6例病例所获得的结果完全令人满意。
