应用游离腓骨组织瓣修复口腔肿瘤切除后下颌骨缺损

The Application of free fibula flap in mandibular defect reconstruction after resection of oval cavity tumors

目的探讨应用游离腓骨组织瓣修复口腔肿瘤切除后下颌骨缺损的临床疗效。方法回顾分析接受游离腓骨组织瓣修复口腔肿瘤切除后下颌骨缺损的临床资料15例。其中下颌骨造釉细胞瘤5例,下颌骨纤维肉瘤2例。颌下腺腺样囊性癌3例,颌下腺粘液表皮样癌2例,口底黏膜高分化鳞癌3例。单纯腓骨骨瓣修复10例,腓骨骨皮瓣修复5例。结果14例腓骨瓣成活,生长良好,1例腓骨骨皮瓣因术后发生血循环危象,经抢救无效而坏死。结论游离腓骨组织瓣修复口腔肿瘤切除后下颌骨缺损可较好地恢复容貌和口腔功能,提高了患者的生存质量。

Objectives Discuss free fibula flap apply in mandibular defect reconstruction after oval cavity tumors resection. Methods Retrospectively review 15 cases clinical materials who undertake free fibula flap reconstruct mandibular defection. Madibular meloblastoma 5 cases, madibular fibrosarcoma 2 cases, submadibular gland adenoidcyst carcinoma 3 cases,submadibular gland mucoepidermoid carcinoma 2cases,oral floor high differentiated squamous carcinoma 3 cases. Simple fibular flap 10 cases, comples fibular osteocutaneous flap 5 cases. Results Fourteen cases fibular flap survival and grow well, 1 case putrescence due to crisis of circulation postoperation. Conclusion Free fibular flap reconstruction madibular defect can recover patients visage and oral function, improve their survival quality.