Department of Head and Neck-Endocrine Oncology, Moffitt Cancer Center, 12902 Magnolia Drive, CSB - 6 Floor, Tampa, FL 33612, USA.
Department of Head and Neck-Endocrine Oncology, Moffitt Cancer Center, 12902 Magnolia Drive, CSB - 6 Floor, Tampa, FL 33612, USA.
Otolaryngol Clin North Am. 2023 Aug;56(4):671-686. doi: 10.1016/j.otc.2023.04.002. Epub 2023 May 8.
This summary provides a concise overview of oral cavity reconstruction to optimize functional outcomes in the modern era. Soft tissue and osseous reconstruction options for a wide range of oral cavity sites including lip, oral tongue, floor of mouth, buccal, hard palate, and composite oromandibular resections are reviewed. The appropriate applications of primary closure, secondary intention, skin grafts, and dermal substitute grafts are included. Anatomic considerations, indications, contraindications, and complications of local, regional, and free flaps in oral cavity reconstruction are discussed. Specific defects and the appropriate options for reconstruction of those defects are delineated.
本摘要提供了一个简明的口腔重建概述,以优化现代口腔功能的结果。涵盖了广泛的口腔部位,包括唇、口腔舌、口底、颊、硬腭以及复合或累及颌骨的切除的软组织和骨重建选择。包括了一期缝合、二期愈合、皮片和真皮替代物移植的适当应用。讨论了口腔重建中局部、区域和游离皮瓣的解剖学考虑、适应证、禁忌证和并发症。详细阐述了特定的缺陷和这些缺陷的适当重建选择。