改良式颈阔肌肌皮瓣在口腔内软组织缺损修复中的应用探讨

Study of the Improved Platysma Myocutaneous Flap to Reconstruct Oral Defect

目的:对比传统的和改良的颈阔肌肌皮瓣手术方法,探讨两种方法的颈阔肌肌皮瓣在修复口腔内软组织缺损中的优缺点和适应症。方法:对18例经过改良的颈阔肌肌皮瓣修复的口腔内软组织缺损患者的术中术后分析,对该皮瓣的适应症和优缺点进行分析,并和传统的手术方法对比。结果:18例病例中痊愈且无并发症者15例,皮瓣尖端坏死1例,口内皮瓣区伤口裂开1例,术后6个月局部肿瘤复发1例。结论:和传统的方法相比较,改良的颈阔肌肌皮瓣增加了供区皮瓣的面积,术后颈部形态好,能够更大范围地修复口内软组织缺损。

Objective： To study the merit and shortcoming of the conventional and the improved platysma myocutaneous flap to reconstruct the oral soft defect.Methods： 18 cases which had been performed the improved platysma myocutaneous flap to reconstruct the oral soft defect were investigated,to observe the virtue of the operating result and compare it with the conventional method.Results： 15 out of 18 cases were thoroughly cured without any complication,and 1 case presented the distal part of flap suffering from necrosis,1 case presented wound dehiscence,and 1 case presented a tumour local recurrence 6 months after operation.Conclusion： Compared with the conventional method,the improved platysma myocutaneous flap can provide larger area of the flap,and it is convenient to reconstruct the larger soft defect in oral and after operation a more beautiful neck shape can be acquired.