原发性口腔恶性黑色素瘤切除术及鼻唇瓣修复治疗：一例报告
Resection of a primary oral malignant melanoma and rehabilitative management using nasolabial flap: a case report.
作者信息
Beier Ulrike Stephanie, Salinas Thomas, Puelacher Wolfgang
机构信息
Clinical Department of Restorative and Prosthetic Dentistry, Innsbruck Medical University, MZA, Anichstrasse 35, 6020 Innsbruck, Austria.
出版信息
Oral Maxillofac Surg. 2012 Mar;16(1):141-5. doi: 10.1007/s10006-011-0281-x. Epub 2011 Jun 10.
BACKGROUND
The primary malignant melanoma is a rare neoplasm of melanocytic origin in the oral cavity. Only about 1% of all melanomas arise in the oral mucosa and these account for 0.5% of all oral malignancies
CASE REPORT
This report describes an oral malignant melanoma occurring in the right maxilla of a 73-year-old patient. The interdisciplinary management using a nasolabial flap and prosthetic oral rehabilitation procedure is described.
DISCUSSION
The nasolabial flap technique offers the possibility of an immediate reconstruction of the maxillary defect and obviated problems with speech, swallowing, and permitted oral intake. As a supplementary benefit, the resection area can support the prosthetic rehabilitation.
背景
原发性恶性黑色素瘤是口腔中一种罕见的黑素细胞起源的肿瘤。所有黑色素瘤中只有约1%发生于口腔黏膜，而这些占所有口腔恶性肿瘤的0.5%。
病例报告
本报告描述了一名73岁患者右上颌发生的口腔恶性黑色素瘤。描述了使用鼻唇瓣和口腔修复手术的多学科治疗方法。
讨论
鼻唇瓣技术为立即修复上颌骨缺损提供了可能，避免了言语、吞咽问题，并允许经口进食。作为一项额外的好处，切除区域可支持修复性康复。
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