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舌癌及口底癌术后缺损的即刻修复

Immediate Reconstruction for Defects after TongueCarcinoma and Mouth Floor Carcinoma Resection
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摘要 舌癌及口底癌切除术后所致部分舌及口底缺损,可导致局部畸形、舌后坠、语音和吞咽功能障碍,所以舌及口底缺损的即刻修复对提高患者术后生存质量有重要意义.总结了10余a来对28例舌癌切除术后即刻用带蒂肌皮瓣及联合肌皮瓣修复的临床经验.舌部分缺损和口底缺损可根据缺损的部位、大小及肿瘤的恶性程度选用腭瓣、鼻唇沟瓣、额瓣、胸大肌肌皮瓣以及联合两肌皮瓣共同修复. Partial tongue and mouth floor defects after tongue carcinoma and mouth floor carcinoma resection would lead to local facial malformation,glossocoma,handicapped pronunciation and malfunction of swallowing.As a result,immediate tongue and mouth floor reconstruction was of vital importance to patients' normal functional survival.The paper discussed more than 10 - year clinical experiences about immediate reconstruction for defects by myocutaneous flap and combined myocutaneous flap after tongue carcinoma and mouth floor carcinoma resection.According to the defective position,sizes and tumor extent of local tongue defects and mouth floor defects,there were a great variety of choices of flaps,such as gnathic flaps,nasolabial,sulcus flaps,frontalis flaps,musculocutaneous flaps of musculus pectoralis maior and any two combined flaps.The paper also studied the advantages and disadvantages of all kinds of musculocutaneous pedicle flaps.
出处 《昆明医学院学报》 1998年第3期31-32,共2页 Journal of Kunming Medical College
关键词 缺损 修复 舌肿瘤 口底肿瘤 手术后 Tongue and mouth floor carcinoma,Defect reconstruction,Muscuolcutaneous pedicle flap
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参考文献7

  • 1Millard D R.Ten years with the palatalisland flap. Plast Reconstuction Surg, 1970,46:540.
  • 2Raymond F Morgan. Nasolabial flap in intraoral reconstruction review of 55 cases Am J Sung, 1981,142(4) :448.
  • 3Herbert P, Harrison R. Nasolabial subcutaneous pedicle flaps. Br J Plast Surg,1975,28:85.
  • 4Gewirtz H S. Use of the nasolabial flap for rceonstruction of the floor of the mouth. Am J Surg, 1978,136:5O8.
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  • 7Ariyan S. Tne pectoralis maior myocutaneous flap a versatile flap for reconstruction in the head and neck.

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