舌骨下肌皮瓣修复口腔颌面部软组织缺损

Reconstruction of oral and maxillofacial soft tissue defects by subhyoid myocutaneous flap

目的探讨舌骨下肌皮瓣修复口腔颌面部软组织缺损的特点。方法2001年12月～2006年11月住院的口腔癌初诊患者10例,均经病理确诊。其中男8例,女2例,年龄31～60岁,平均47岁,中位年龄50岁。舌癌1例,颊癌2例,口底癌4例,牙龈癌3例。均采用舌骨下肌皮瓣修复术后所致软组织缺损。供区皮肤直接拉拢缝合,无继发畸形。结果术后切口均Ⅰ期愈合,10例舌骨下肌皮瓣全部成活,无1例发生全部或部分皮瓣坏死,移植成活率100%。患者获得满意的外观和功能。经过6个月～5年的随访,无一例肿瘤复发或远处转移。结论舌骨下肌皮瓣制备较简单,效果可靠,且成活率高。可用于口腔颌面部软组织缺损的修复。

Objective To evaluate the results of reconstruction of oral and maxillofacial soft tissue defects by subhyoid myocutaneous flap. Methods From December 2001 to November 2006, we used subhyoid myocutaneous flaps to reconstruct the soft tissue defects in 10 patients after radical operation of oral cancer. There were 8 male and 2 female with the age range of 31 to 60 years（ the average age： 47,the median age： 50）. The lesions included 1 tongue cancer,2 buccal cancer,4 mouth floor cancer and 3 gingival cancer. The donor sites were directly closed. Results All incisions healed uneventfully, and all the 10 subhyoid myocutaneous flaps survived, without total or partial necrosis. The results were satisfactory both in appearance and functions. The patients were followed up for 6 months to 5 years, no tumour relapse and metastasis occured. Conclusion The subhyoid myocutaneous flap is a useful flap for the reconstruction of oral and maxillofacial soft tissue defects. The procedure of preparing the flap is simple and the results were reliable.