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用于双侧牙关紧闭松解的跨面颊哑铃形桡侧前臂游离皮瓣

Cross cheek dumbbell-shaped radial forearm free flap for bilateral trismus release.

作者信息

Hussain Touqeer, Tahir Hasan, Rahman Obaid U R, Beg Mirza Shehab Afzal

机构信息

Department of Plastics and Reconstructive Surgery, Liaquat National Hospital, Karachi, Pakistan.

Department of Plastic and Reconstructive Surgery, Liaquat National Hospital and Medical College, Karachi, Pakistan.

出版信息

Case Reports Plast Surg Hand Surg. 2021 Sep 18;8(1):140-144. doi: 10.1080/23320885.2021.1977137. eCollection 2021.

DOI:10.1080/23320885.2021.1977137
PMID:34553006
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8451691/
Abstract

Trismus in post-radiotherapy patients is mostly secondary to fibrosis of buccal mucosa and muscles of mastication. After releasing trismus, mucosal defect needs to be covered with soft and supple tissue. We used a non-conventional method to cover this defect i.e. dumbbell-shape forearm free-flap based on a single radial artery.

摘要

放疗后患者的牙关紧闭大多继发于颊黏膜和咀嚼肌纤维化。在解除牙关紧闭后，黏膜缺损需要用柔软且有弹性的组织覆盖。我们采用了一种非常规方法来覆盖此缺损，即基于单一桡动脉的哑铃形前臂游离皮瓣。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45a9/8451691/fb8afdb47145/ICRP_A_1977137_F0004_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45a9/8451691/af546dd29857/ICRP_A_1977137_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45a9/8451691/67c3e2e0fd99/ICRP_A_1977137_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45a9/8451691/1bbb9ea84583/ICRP_A_1977137_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45a9/8451691/fb8afdb47145/ICRP_A_1977137_F0004_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45a9/8451691/af546dd29857/ICRP_A_1977137_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45a9/8451691/67c3e2e0fd99/ICRP_A_1977137_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45a9/8451691/1bbb9ea84583/ICRP_A_1977137_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45a9/8451691/fb8afdb47145/ICRP_A_1977137_F0004_C.jpg

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本文引用的文献

1
Radial forearm free flap: A dynamic flap for single-staged multiple subunit reconstruction.桡侧前臂游离皮瓣：用于一期多亚单位重建的动态皮瓣。
J Pak Med Assoc. 2019 Jun;69(6):905-907.
2
Cross-Cheek Dumbbell-Shaped Radial Forearm Flap for Simultaneous Correction of Oral Cancer and Submucous Fibrosis.用于同时矫正口腔癌和口腔黏膜下纤维化的跨颊哑铃形桡侧前臂皮瓣
Craniomaxillofac Trauma Reconstr. 2016 Jun;9(2):162-5. doi: 10.1055/s-0035-1567811. Epub 2015 Nov 5.
3
Free flap reconstruction after surgical release of oral submucous fibrosis: long-term maintenance and its clinical implications.
口腔黏膜下纤维性变松解术后游离皮瓣重建：长期维持及其临床意义。
J Plast Reconstr Aesthet Surg. 2014 Mar;67(3):344-9. doi: 10.1016/j.bjps.2013.12.004. Epub 2013 Dec 11.
4
Tripaddled anterolateral thigh flap for simultaneous reconstruction of bilateral buccal defects after buccal cancer ablation and severe oral submucous fibrosis release: a case report.三蒂股前外侧皮瓣同期修复颊癌切除及重度口腔黏膜下纤维化松解术后双侧颊部缺损：1例报告
Microsurgery. 2013 Nov;33(8):667-71. doi: 10.1002/micr.22140. Epub 2013 Aug 6.
5
Lip and oral commissure reconstruction with the radial forearm flap.采用桡侧前臂皮瓣进行唇部及口角重建。
Natl J Maxillofac Surg. 2012 Jan;3(1):21-4. doi: 10.4103/0975-5950.102144.
6
Oral submucous fibrosis-New dimensions in surgery.口腔黏膜下纤维化——外科手术的新维度
Indian J Otolaryngol Head Neck Surg. 2005 Apr;57(2):99-102. doi: 10.1007/BF02907659.
7
Management of trismus following radiation therapy by cost-effective approach.采用具有成本效益的方法管理放射治疗后的牙关紧闭。
BMJ Case Rep. 2012 Oct 19;2012:bcr2012007326. doi: 10.1136/bcr-2012-007326.
8
Limited mouth opening after primary therapy of head and neck cancer.头颈癌初次治疗后张口受限。
Oral Maxillofac Surg. 2010 Sep;14(3):169-73. doi: 10.1007/s10006-010-0220-2.
9
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J Plast Reconstr Aesthet Surg. 2010 Jul;63(7):1117-23. doi: 10.1016/j.bjps.2009.05.047. Epub 2009 Jul 5.
10
Radiation-induced trismus in head and neck cancer patients.头颈癌患者的放射性牙关紧闭
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