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[口腔黏膜缺损修复中的颊黏膜瓣]

[Buccal flap in reconstruction of mucosal defects in oral cavity].

作者信息

Pabiszczak Maciej, Wierzbicka Małgorzata, Szyfter Witold

机构信息

Klinika Otolaryngologii i Onkologii Laryngologicznej w Poznaniu Kierownik Kliniki. faix 61-8691690.

出版信息

Otolaryngol Pol. 2011 Jan-Feb;65(1):10-3. doi: 10.1016/S0030-6657(11)70621-7.

DOI:10.1016/S0030-6657(11)70621-7
PMID:21574491
Abstract

INTRODUCTION

The buccal flaps are an effective alternative in treatment patients with small defects of the oral cavity due to: the small size of the flap, the lack of donor site, less risk of postoperative complications and short procedure time.

MATERIAL AND METHODS

In the Department of Otolaryngology and Laryngological Oncology in Poznan in the years 2005-2008 was performed 7 resections of oral cavity due to cancer in which the reconstructions were based on two types of flaps: from the buccal mucosa (3 patients), and muscular-buccal mucosal flap (4 cases). The paper presents aspects of the anatomical structure of the cheek and technique for flap dissection.

RESULTS AND CONCLUSIONS

In the majority group of patients the primary defect healing properly. The mucosal buccal flaps are a good alternative to free flaps, but their indications are limited to the primary defects of small extent.

摘要

引言

颊瓣是治疗口腔小缺损患者的一种有效替代方法,原因如下:瓣的尺寸小、无供区、术后并发症风险低且手术时间短。

材料与方法

2005年至2008年期间,在波兹南的耳鼻喉科和喉肿瘤学系,对7例因癌症进行的口腔切除术进行了重建,重建基于两种类型的瓣:来自颊黏膜(3例患者)和肌-颊黏膜瓣(4例)。本文介绍了颊部的解剖结构方面以及瓣分离技术。

结果与结论

在大多数患者组中,原发缺损愈合良好。颊黏膜瓣是游离瓣的良好替代方法,但其适应证仅限于小范围的原发缺损。

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