胸大肌皮瓣修复舌、口底癌后种植覆盖义齿1例报告

Implant-supported overdenture after pectoralis major myocutaneous flap reconstruction of tongue/floor of the mouth cancer:a case report

口腔癌患者手术扩大切除肿瘤组织后,口腔形态遭到严重破坏,虽经皮瓣修整缺损区,但仍不能完全恢复正常的口腔结构和功能。在这样的口腔环境下修复缺失牙,恢复患者的咀嚼功能,是修复领域的一大难点。本文描述1例舌、口底癌患者口内转移胸大肌皮瓣后,植入种植体,应用杆卡式覆盖义齿进行义齿修复的全过程,修复后患者口腔结构和功能改善,生存质量提高。

Patients with oral cancer, undergoing ablative surgery, were left with severe deformities and dysfunction. Although the defect can be repaired by flap transplantation, there were still difficulties to restore normal oral structure and function of the oral cavity. In these instances, rehabilitation of mastication and occlusion is of the utmost importance. This article described the procedure that implants were inserted and bar/clips retained overdenture was applied to a patient who underwent reconstruction with pectoralis major myocutaneous flap after cancer ablation surgery. The patient＇s oral structure and functions was recovered, and the quality of life was greatly improved. Supported by National Natural Science Foundation of Liaoning Province （20092093） and Research Fund of Education Commission of Liaoning Province （2004F008）.