单阶段延长鼻唇瓣修复口腔黏膜下纤维化患者手术缺损
Surgical defect coverage in oral submucous fibrosis patients with single-stage extended nasolabial flap.
作者信息
Idrees Faisal, Patel Poornima, Newaskar Vilas, Agrawal Deepak
机构信息
Oral and Maxillofacial Surgery, Index Institute of Dental Sciences, Line 1: khudel, Indore, India.
Dental Kraft's Clinic, Raipur, India.
出版信息
Oral Maxillofac Surg. 2016 Dec;20(4):411-415. doi: 10.1007/s10006-016-0582-1. Epub 2016 Sep 24.
PURPOSE
Long standing oral submucous fibrosis (OSMF) is associated with involvement of the oral submucosa and the muscles of mastication leading to difficulty in mouth opening. Various surgical modalities are mentioned for release but each has its own limitations. The aim of the study was to evaluate the postoperative mouth opening in patients of OSMF after excision of fibrous bands followed by coronoidotomy and surgical defect coverage by extended nasolabial flap.
METHODS
We evaluated the use of extended nasolabial flaps and coronoidectomy in the management of 11 randomly selected patients with histologically confirmed oral submucous fibrosis. They all had interincisal opening of less than 25 mm and were treated by bilateral release of fibrous bands, coronoidectomy or coronoidotomy, and extended grafting with a nasolabial flap.
RESULT
Their interincisal opening improved significantly from a mean of 8.68±7 mm to a mean of 36.75±4.05 mm at 6-month follow-up.
CONCLUSION
The procedure was effective in the management of patients with oral submucous fibrosis, the main disadvantage being the extraoral scars.
目的
长期存在的口腔黏膜下纤维化（OSMF）与口腔黏膜下层及咀嚼肌受累有关，导致张口困难。文中提及了多种用于松解的手术方式，但每种都有其局限性。本研究的目的是评估在切除纤维带并进行冠突切除术及采用延长鼻唇瓣覆盖手术缺损后，OSMF患者的术后张口情况。
方法
我们评估了延长鼻唇瓣和冠突切除术在11例经组织学确诊为口腔黏膜下纤维化的随机选择患者治疗中的应用。他们的切牙间开口均小于25毫米，并接受了双侧纤维带松解、冠突切除术或冠突切开术以及鼻唇瓣延长移植治疗。
结果
在6个月的随访中，他们的切牙间开口从平均8.68±7毫米显著改善至平均36.75±4.05毫米。
结论
该手术在口腔黏膜下纤维化患者的治疗中有效，主要缺点是存在口外瘢痕。
Zotero 插件