Eckardt André M
Department of Cranio-Maxillofacial Surgery, Faculty of Dentistry, Hannover Medical University, Hannover, Germany.
J Korean Assoc Oral Maxillofac Surg. 2013 Feb;39(1):3-8. doi: 10.5125/jkaoms.2013.39.1.3. Epub 2013 Feb 21.
Reconstruction of oral soft-tissue defects following resection of oral carcinomas can be achieved using various techniques including microsurgical tissue transfer. However, there seems to be a role for regional or local flaps. Small to medium-size defects can be functionally reconstructed with the platysma myocutaneous flap as an excellent choice particularly in medically compromised patients not being eligible for free tissue transfer. The present paper reviews the indication, surgical technique, and complications following reconstruction of defects of the oral cavity with the platysma myocutaneous flap.
口腔癌切除术后口腔软组织缺损的重建可通过多种技术实现,包括显微外科组织移植。然而,局部或区域皮瓣似乎也有其作用。中小尺寸的缺损可用颈阔肌肌皮瓣进行功能重建,这是一个极佳的选择,尤其适用于不适合进行游离组织移植的身体状况不佳的患者。本文综述了颈阔肌肌皮瓣修复口腔缺损的适应证、手术技术及并发症。