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连接传统与现代：在游离皮瓣时代采用双叶胸大肌肌皮瓣修复复杂口腔缺损

Bridging Tradition and Modernity: Embracing the Bipaddled Pectoralis Major Myocutaneous Flap for Challenging Oral Cavity Defects in the Free Flap Era.

作者信息

Gattani Vaishnavi, Pawar Shreya, Gupta Chetan, Bhola Nitin, Sonpal Parmarth, Agrawal Palak

机构信息

Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Wardha, IND.

出版信息

Cureus. 2024 Jun 13;16(6):e62341. doi: 10.7759/cureus.62341. eCollection 2024 Jun.

DOI:10.7759/cureus.62341
PMID:39006683
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11246768/
Abstract

Oral squamous cell carcinoma is a serious global issue, with the prognosis decreasing as the disease severity increases. The implications of this condition are so disastrous that they cause a lot of suffering for the individual. Early diagnosis has proven to improve patients' overall survival and quality of life. Surgery remains the mainstay in treating oral carcinoma. It is aimed at the complete removal of the cancerous lesion along with the management of cervical nodal metastasis. Larger defects call for reconstruction with bulky flaps. In our case, we had a composite defect postresection of the cancerous lesion, which was reconstructed using a bipaddled pectoralis major myocutaneous flap.

摘要

口腔鳞状细胞癌是一个严重的全球性问题，随着疾病严重程度的增加，预后会变差。这种疾病的影响是灾难性的，会给患者带来极大的痛苦。事实证明，早期诊断可提高患者的总体生存率和生活质量。手术仍然是治疗口腔癌的主要方法。其目的是彻底切除癌性病变并处理颈部淋巴结转移。较大的缺损需要用体积较大的皮瓣进行重建。在我们的病例中，癌性病变切除后出现了复合缺损，我们使用双叶胸大肌肌皮瓣进行了重建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/0ac4e8e68887/cureus-0016-00000062341-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/a1253aebe200/cureus-0016-00000062341-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/e41d6e0ef5a3/cureus-0016-00000062341-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/d274b6c89fef/cureus-0016-00000062341-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/b66f11b01bdf/cureus-0016-00000062341-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/44e08f6cc658/cureus-0016-00000062341-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/d08a3780dbf6/cureus-0016-00000062341-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/8cbc2b5cb29e/cureus-0016-00000062341-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/a42ff91d6491/cureus-0016-00000062341-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/841430fc9efc/cureus-0016-00000062341-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/0ac4e8e68887/cureus-0016-00000062341-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/a1253aebe200/cureus-0016-00000062341-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/e41d6e0ef5a3/cureus-0016-00000062341-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/d274b6c89fef/cureus-0016-00000062341-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/b66f11b01bdf/cureus-0016-00000062341-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/44e08f6cc658/cureus-0016-00000062341-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/d08a3780dbf6/cureus-0016-00000062341-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/8cbc2b5cb29e/cureus-0016-00000062341-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/a42ff91d6491/cureus-0016-00000062341-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/841430fc9efc/cureus-0016-00000062341-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/11246768/0ac4e8e68887/cureus-0016-00000062341-i10.jpg

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本文引用的文献

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Approach for Mandibular Reconstruction Using Vascularized Free Fibula Flap: A Review of the Literature.使用带血管游离腓骨瓣进行下颌骨重建的方法：文献综述
Cureus. 2022 Oct 11;14(10):e30161. doi: 10.7759/cureus.30161. eCollection 2022 Oct.
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Epidemiological Aspects of Oral Cancer in North Indian Population.北印度人群口腔癌的流行病学特征
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Can radiological examination of mandibular bone invasion accurately predict the need for mandibular resection in oral squamous cell carcinoma?
下颌骨侵犯的影像学检查能否准确预测口腔鳞状细胞癌是否需要下颌骨切除术？
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Influence of bone invasion on outcomes after marginal mandibulectomy in squamous cell carcinoma of the oral cavity.骨侵犯对口腔鳞状细胞癌下颌骨边缘性切除术后预后的影响。
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Herniation after deep circumflex iliac artery flap: two cases of rare complication.旋髂深动脉皮瓣术后疝形成：两例罕见并发症
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Is there still a role for bilobed/bipaddled pectoralis major myocutaneous flap for single-stage immediate reconstruction of post ablative oncologic full-thickness defects of the cheek?对于颊部肿瘤切除术后全层缺损的一期即刻重建，双叶/双叶胸大肌肌皮瓣是否仍有应用价值？
Oral Maxillofac Surg. 2015 Jun;19(2):125-31. doi: 10.1007/s10006-014-0458-1. Epub 2014 Aug 17.