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舌瓣在腭部黏膜下纤维化中的应用。

Use of tongue flap in submucous palatal fibrosis.

作者信息

Tepan M G, Saigal G S, Tilak S B

出版信息

J Laryngol Otol. 1986 Apr;100(4):455-60. doi: 10.1017/s0022215100099473.

DOI:10.1017/s0022215100099473
PMID:3958592
Abstract

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.

摘要

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。

相似文献

1
Use of tongue flap in submucous palatal fibrosis.舌瓣在腭部黏膜下纤维化中的应用。
J Laryngol Otol. 1986 Apr;100(4):455-60. doi: 10.1017/s0022215100099473.
2
Closure of a palatal fistula by a free tongue composite graft.游离舌复合组织瓣修复腭裂瘘
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Use of the greater palatine pedicled flap for the surgical management of trismus in oral submucous fibrosis.采用腭大翼蒂瓣治疗口腔黏膜下纤维性变所致牙关紧闭。
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Secondary closure of oroantral and oronasal fistulas: a modification of existing techniques.
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Refinements of the tongue flap for closure of difficult palatal fistulas.用于闭合复杂腭裂瘘口的舌瓣改良术。
J Craniofac Surg. 1993 Apr;4(2):109-11.
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Surgery for severe trismus in submucous fibrosis.口腔黏膜下纤维化严重牙关紧闭的外科治疗
Br J Plast Surg. 1988 Sep;41(5):557. doi: 10.1016/0007-1226(88)90020-3.
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The design of tongue flaps for the closure of palatal fistulas.用于腭裂瘘管闭合的舌瓣设计。
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Repair of large palatal fistula using tongue flap.使用舌瓣修复腭大瘘管。
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Tongue flaps in repair of large palatal defects.舌瓣修复腭部大缺损
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引用本文的文献

1
Surgical Interventions in Oral Submucous Fibrosis: A Systematic Analysis of the Literature.口腔黏膜下纤维化的外科干预:文献系统分析
J Maxillofac Oral Surg. 2015 Sep;14(3):521-31. doi: 10.1007/s12663-014-0639-3. Epub 2014 Dec 25.
2
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.