中国实用口腔科杂志

中国实用口腔科杂志

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背阔肌游离肌皮瓣应用于口腔颌面部缺损重建的临床研究

谭学新，段维轶，王 哲，卢 利，王绪凯，王玉新   

  1. 中国医科大学口腔医学院
  • 收稿日期:2008-12-31 修回日期:2009-02-06 出版日期:2009-02-15 发布日期:2009-02-15

  • Received:2008-12-31 Revised:2009-02-06 Online:2009-02-15 Published:2009-02-15

摘要：

目的 探讨背阔肌游离肌皮瓣修复口腔颌面部严重组织缺损的临床治疗效果。方法 选择2006年11月至2008年11月于中国医科大学口腔医学院颌面外科就诊的颌面部严重组织缺损患者5例，缺损面积最小12 cm × 8 cm，最大20 cm × 14 cm。全部采用背阔肌游离肌皮瓣移植，Ⅰ期修复重建。切取肌皮瓣面积最小13 cm × 9 cm，最大24 cm ×16 cm。结果 创口均为Ⅰ期愈合，皮瓣100%成活。术后随访1个月至2年，功能与形态满意。结论 背阔肌游离肌皮瓣移植是一种修复重建口腔颌面部较大组织缺损较为理想的方法，具有血供可靠，供瓣面积大、供区隐蔽等优点。

关键词: 背阔肌肌皮瓣, 游离移植, 口腔颌面重建

Abstract:

Objective To investigate the clinical effect of free latissimus dorsi myocutaneous flaps to restore and reconstitute the severe oral-maxillofacial defects. Methods Five cases of severe oral-maxillofacial defects were treated using free latissimus dorsi myocutaneous flaps. All the operations were done in Stage one. The oral-maxillofacial defects ranged from 12 cm×8 cm to 20 cm×14 cm .The flaps were 13 cm×19 cm to 24 cm×16 cm in size . Results Postoperative follow-up ranging from 1 month to 2 years demonstrated satisfactory results in all the cases . The survival rate of free latissimus dorsi myocutaneous flaps reached 100%. Conclusion Free grafting of the latissimus dorsi myocutaneous flaps is an ideal treatment for severe oral-maxillofacial defects，as it possesses many advantages such as reliable blood supply ， large size and so on.

Key words: latissimus dorsi myocutaneous flaps, free grafting, oral-maxillofacial reconstruction