Kulkarni Sanjay Balwant, Barbagli Guido, Sansalone Salvatore, Joshi Pankaj Mangalkumar
Center for Reconstructive Urology, Pune, India.
Center for Reconstructive Urethral Surgery, Arezzo, Italy.
Indian J Urol. 2014 Jan;30(1):117-21. doi: 10.4103/0970-1591.124222.
Oral mucosa has been the most popular substitute material for urethral reconstructive surgery because it is easy to harvest, is easy to access, has a concealed donor site scar, and obviates most of the problems associated with other grafts. However, the success of using oral mucosa for urethral surgery is mainly attributed to the biological properties of this tissue. Herein, the surgical steps of harvesting oral mucosa from the inner cheek are presented with an emphasis on tips and tricks to render the process easier and more reproducible and to prevent intra and post-operative complications. The following steps are emphasized: Nasal intubation, ovoid shape graft, delicate harvesting leaving the muscle intact, donor site closure and removal of submucosal tissue.
口腔黏膜一直是尿道重建手术中最常用的替代材料，因为它易于获取、容易接近、供区瘢痕隐蔽，并且避免了与其他移植物相关的大多数问题。然而，将口腔黏膜用于尿道手术的成功主要归因于该组织的生物学特性。本文介绍了从内侧颊部采集口腔黏膜的手术步骤，重点介绍了使该过程更简便、更可重复以及预防术中和术后并发症的技巧。强调以下步骤：鼻腔插管、椭圆形移植物、小心采集并保持肌肉完整、供区闭合以及去除黏膜下组织。
