Zhang Kai, Meng Zhong-Hua, Xu Tao, Li Jian-Cheng, Chen Yong-Feng, Wu Zhi-Gang
Department of Oral and Maxillofacial Surgery of the First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2012 Jan;28(1):13-5.
To evaluate the clinical effect of mandibular osteomuscular flap pedicled with temporalis to repair maxillary defect.
From March 2008 to May 2010, ten cases of maxillary defects resulted from malignant tumor resection were treated with mandibular osteomuscular flap pedicled with temporalis. Ten cases of malignant tumor included six cases of Squamous cell carcinoma,one case of duct carcinoma, osteosarcoma, chondrosarcoma and malignant melanoma. One case was repaired by mandibular osteomuscular flap only, nine cases were repaired by mandibular osteomuscular flaps combined with other soft tissue flaps.
All the 10 mandibular osteomuscular flaps survived completely with no complication. The patients were followed up for 12 to 36 months, with an average of 18 months. Satisfactory appearance and complete functional restoration were achieved except for one case of chondrosarcoma recurrence.
The mandibular osteomuscular flap pedicled with temporalis is safe and easily performed with less complication. It is an ideal method for repairing the maxillary defect.
评估颞肌蒂下颌骨肌皮瓣修复上颌骨缺损的临床效果。
2008年3月至2010年5月，对10例因恶性肿瘤切除导致上颌骨缺损的患者采用颞肌蒂下颌骨肌皮瓣进行治疗。10例恶性肿瘤患者中，鳞状细胞癌6例，导管癌1例，骨肉瘤、软骨肉瘤和恶性黑色素瘤各1例。1例仅采用下颌骨肌皮瓣修复，9例采用下颌骨肌皮瓣联合其他软组织瓣修复。
10例下颌骨肌皮瓣全部完全成活，无并发症发生。患者随访12至36个月，平均18个月。除1例软骨肉瘤复发外，外观满意，功能完全恢复。
颞肌蒂下颌骨肌皮瓣安全、操作简便、并发症少，是修复上颌骨缺损的理想方法。
