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提高舌骨下肌皮瓣修复效果的临床分析 被引量:4

CLINICAL ANANYSIS OF IMPROVING THE INFRAHYOID MYOCUTANENOUS FLAP RECONSTRUCTION EFFECT AFTER RESECTION OF HEAD AND NECK CANCER
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摘要 目的 进一步提高舌骨下肌群肌皮瓣修复头颈部肿瘤术后缺损的成功率。方法 除正确处理好供应舌骨下肌皮瓣的甲状腺上动脉外 ,着重注意保留供应该肌皮瓣的其它相关动脉 ,即甲状腺上动脉到颈阔肌分支以及到胸锁乳突肌的肌支。与此同时要正确处理该肌皮瓣的静脉回流系统。结果  16例舌骨下肌皮瓣进行口腔肿瘤术后缺损修复全部成功。结论 提高舌骨下肌群肌皮瓣修复口腔颌面部缺损成功率的关键是处理好相关的动脉和静脉回流系统。该肌皮瓣成活率高 ,邻近缺损部位 ,便于一个手术区操作 ,无需吻合血管 ,缩短手术时间。为舌。 Objective To improve success rate of infrahyoid myocutaneous flap reconstruction after resectin of head and neck cancer. Methods Proper treat glood supply system for infrahgoid myocutanous flap especialy for veing systems because superior thyroid veins have three kinds of return system. Result From Oct. 1987~Oct 1997. 16 flaps were perforaned in our Department. flaps survired well. with a success rate of 100%. Conclusion The key to improve infrahyoid myocutaness flap surviral rate is proper treate relation atery and vein system. the flap is first selection in our Dept reconstrucking tongue and floor of mouth Defect after oncologic surgery.
机构地区 江苏无锡
出处 《口腔颌面外科杂志》 CAS 2001年第1期79-80,共2页 Journal of Oral and Maxillofacial Surgery
关键词 舌骨下肌群肌皮瓣 修复 口腔修损 Infrahyoid myocutaneous flap Reconstruction Mouth defect
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