带蒂颞肌颅骨瓣修复上颌骨上份的缺损

Reconstruction of maxillary defect with temporalis calvarial flap

目的探讨带蒂颞肌颅骨瓣修复上颌骨上份缺损的优缺点。方法对6例上颌骨缺损的患者,用带蒂颞肌颅骨瓣修复上颌骨上份(眶底)缺损,同时封闭口鼻瘘。结果术后患者的伤口均一期愈合,皮瓣成活,术后随访12个月,其面部外形满意,能够正常进食,进食时无食物从鼻腔返流,语音清晰。结论应用带蒂颞肌颅骨瓣重建上颌骨上份(眶下区)缺损,术后患者上颌骨外形和语音恢复正常,值得推广应用。

Objective Outcomes of maxillary reconstruction with temporalis calvarial flap were evaluated. Methods We reconstructed an orbital floor by using a temporalis calvarial flap for six patients with maxillary defects. Results After 12 months, the flaps were alive without noticeable inflammation. The oral and nasal cavities were separated well by the flaps, and the patients were able to take food orally and did not exhibit speech intelligibility problems. Conclusion Temporalis calvarial flap restored the contour and maxillary function; thus, this flap is recommended for the reconstruction of maxillary defects.