中国实用口腔科杂志

中国实用口腔科杂志 ›› 2011, Vol. 4 ›› Issue (09): 552-553.

• 论著 • 上一篇    下一篇

舌癌、口底癌切除及即刻修复重建术中保存下颌牙槽突的可行性探讨

  

  1. 1. 中国医科大学口腔医学院口腔颌面外科教研室 口腔颌面—头颈肿瘤外科，沈阳  110002；2. 沈阳医学院奉天医院口腔科，沈阳  110024
  • 收稿日期:2011-06-25 修回日期:2011-08-20 出版日期:2011-09-15 发布日期:2011-12-06

  • Received:2011-06-25 Revised:2011-08-20 Online:2011-09-15 Published:2011-12-06

摘要：

目的    探讨舌癌、口底癌病灶切除后即刻修复重建术中保留下颌骨牙槽突的可行性，提高患者术后生活质量。 方法    对2007年10月至2011年3月中国医科大学口腔医学院口腔颌面-头颈肿瘤外科收治的38例舌癌、口底癌患者（原发灶T1-T3，下颌骨无侵犯）行保留下颌骨牙槽突的病灶扩大切除、选择性或根治性颈淋巴清扫术、游离皮瓣移植舌及口底修复重建术，术后随访观察。结果    所有患者随访6～38个月，原发病灶处无一例复发，转移皮瓣成活良好，口腔功能恢复良好。结论    在舌癌、口底癌病灶切除及修复重建术中，通过严格地筛选病例，保留下颌骨牙槽突是完全可行的。

关键词: 舌癌, 口底癌, 牙槽突, 修复重建

Abstract:

Objective    To investigate the clinical application of the combined radical operation for retaining the aveolar of mandible with one-stage reconstruction using free flap in the patients with tongue carcinoma or／and mouth floor carcinoma. Methods    The combined radical operation for retaining aveolar of mandible with one-stage reconstruction using free flap was performed in 38 patients with tongue carcinoma or／and mouth floor carcinoma. Results    After 6 to 38 months of follow-up， there was no local recurrence. The flaps were vital， and the mouth function was good. Conclusion    The combined radical operation for retaining aveolar of mandible with one-stage reconstruction using free flap could be used for tongue carcinoma or／and mouth floor carcinoma patients who have no invasion in aveolar.

Key words: tongue carcinoma； mouth floor carcinoma； aveolar； reconstruction