颞顶筋膜皮瓣修复下颌下软组织缺损——病例报告
Reconstruction of a Submandibular Soft Tissue Defect with a Temporoparietal Fasciocutaneous Flap - A Case Report.
作者信息
Shetty Naren, Khaire Samir Dashrath, Thopte Shameeka, Nisa Shams Ul, Unnikrishnan S, Wadde Kavita
机构信息
Department of Plastic Surgery, St John's Medical College Hospital, Bengaluru, Karnataka, India.
Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Mumbai, India.
出版信息
Ann Maxillofac Surg. 2024 Jan-Jun;14(1):109-111. doi: 10.4103/ams.ams_227_23. Epub 2024 Apr 15.
RATIONALE
Reconstruction of soft tissue defects in the facial region have always been challenging. Appropriate selection of flaps will result in minimal morbidity and restore the tissue form without compromising function.
PATIENT CONCERNS
During reconstruction in the facial region, patients desire to have minimal visible scar and functions of the jaw bone.
DIAGNOSIS
The article discusses a case of right space infection with soft tissue loss in the submandibular region.
TREATMENT
The fascial spaces were explored and the odontogenic foci of infection were removed. The soft tissue defect in the submandibular region was resurfaced using the temporoparietal fasciocutaneous flap.
OUTCOMES
The flap was well settled, and facial contours were maintained with reasonable facial symmetry.
TAKE-AWAY LESSONS: Surgical skill in the management of soft tissue defects in the fascial region demands sound knowledge of the facial region, selection of the flap and meticulous execution of the surgical plan.
理论依据
面部软组织缺损的重建一直具有挑战性。正确选择皮瓣可使发病率降至最低，并在不影响功能的情况下恢复组织形态。
患者关注点
在面部重建过程中，患者希望瘢痕尽可能不明显且保留颌骨功能。
诊断
本文讨论了一例右下颌下区间隙感染伴软组织缺损的病例。
治疗
探查筋膜间隙并清除感染性牙源性病灶。采用颞顶筋膜皮瓣修复下颌下区软组织缺损。
结果
皮瓣成活良好，面部轮廓得以维持，面部对称性合理。
经验教训
处理筋膜区软组织缺损的手术技巧需要对面部区域有充分了解、能正确选择皮瓣并精心执行手术方案。
Zotero 插件