颞肌筋膜瓣即时重建腭组织缺损

Reconstructing defects in the palate with temporalis myofascial flap immediately.

目的 :探索颞肌筋膜瓣即时重建硬腭、软腭组织缺损的临床效果。方法 :临床选择上颌或腭部病变的病例 ,在施行切除术后 ,以颞肌筋膜瓣即时重建硬腭或软腭组织缺损 ;观察颞肌筋膜瓣成活情况、术后语音以及吞咽功能的恢复状况。结果 :临床应用 17例 ,其中 1例组织瓣坏死脱落 ,其余成活良好 ;患者语音清晰 ,无饮食障碍。结论 :颞肌筋膜瓣即时重建硬腭、软腭组织缺损是一种良好的方法。

Objective:To explore the clinical effects of reconstructing hard and soft palate defects with temporalis myofascial flap.Methods:After the lesions in the maxilla or palate is resected,the defects of palate is reconstructed immediately with temporalis myofascial flap.The vitality of the temporalis myofascial flap,function of speech and,swallowing is valuated.Results:One of the flaps is necrotic,the rest is living.There are no hindrance to drinking water,taking meals as well as pronunciation.Conclusions:It is a good method to reconstruct the defect of hard and soft palate with temporalis myofascial flap. [