颏下皮瓣在修复口腔颌面部软组织缺损中的应用

Submental Island Flap for the Reconstruction of Oral and Maxillofacial Soft Tissue Defects

目的:评价颏下皮瓣在口腔颌面部软组织缺损修复中的应用。方法 :采用颏下皮瓣修复口腔颌面部软组织缺损26例,年龄35～80岁;男性18例,女性8例;恶性肿瘤21例,均排除淋巴结转移,良性病变3例,外伤致软组织缺损2例;均用颏下皮瓣修复,皮瓣大小为(3.5 cm×8.0 cm)～(4.0 cm×10.0 cm)。结果:25例皮瓣一期愈合,有1例皮瓣创口裂开,延期愈合。受区外形及功能恢复良好,术后随诊4～20个月,皮瓣在术后2～3个月有10%～15%的缩小。结论:颏下皮瓣制备简单、安全,修复口腔颌面部中小型软组织缺损效果良好。

Objective： To evaluate the clinical results of submental island flap in the restoration of soft tissue defects in orofacial region. Methods： 26 oral and maxillofacial defect patients were retrospectively reviewed. The ages of the patients ranged from 35 to 80 years, 18 were male, 8 were female. Malignant tumors were 21 cases while benign lesions were 3 case and trauma deformity in 2 cases. The sizes of submental island flap varied from 3.5 cm×8.0 cm to 4.0 cm×10.0 cm. Result： Flaps healed with first intension in 25 cases. One case showed wound dehiscence and then a delayed healing. Functions and appearances of the defects were well restored in all patients. Conclusions： Submental flap is reliable for reconstruction of small and mid-sized defects in oral and maxillofacial region.