Tepan M G, Saigal G S, Tilak S B
J Laryngol Otol. 1986 Apr;100(4):455-60. doi: 10.1017/s0022215100099473.
Submucous palatal fibrosis invariably leads to trismus due to fibrosis in the retromolar region. Medical lines of treatment are of no use in relieving the trismus once it is established. Various surgical methods, such as excision of fibrous tissue or excision of fibrous tissue with skin grafting, have been suggested, but none of them has been proved to give a lasting cure. We have made use of tongue flaps on either side in cases of trismus due to submucous palatal fibrosis in the retromolar region. Twenty-five cases have been operated upon with this technique and the results are quite encouraging. Regular follow-up for up to three years has shown good results without any complications.
由于磨牙后区的纤维化,腭黏膜下纤维化总会导致牙关紧闭。一旦牙关紧闭形成,药物治疗对于缓解症状毫无作用。有人提出了各种手术方法,如纤维组织切除术或纤维组织切除加植皮术,但均未被证明能带来持久的治愈效果。对于因磨牙后区腭黏膜下纤维化导致牙关紧闭的病例,我们采用了双侧舌瓣。运用该技术对25例患者进行了手术,结果相当令人鼓舞。长达三年的定期随访显示效果良好,且无任何并发症。