超级显微外科理念及技术在颌面部整复中的现状和前景

Current status and prospect of supermicrosurgery in maxillofacial reconstruction

超级显微外科是目前显微外科和修复重建领域的研究热点, 其核心理念是精细和微创, 这与颌面部整复理念不谋而合。口腔颌面部在美观和功能方面发挥着重要作用, 同时口腔颌面部的组织形态结构复杂。颌面部各式各样复杂缺损的修复需要各种类型的皮瓣, 尤其是血管化游离皮瓣。然而, 目前常规显微外科无法满足特殊情况下颌面修复需求。超级显微外科技术可以进一步补充常规修复重建手段在颌面部整复中的不足。在其引领下, 必然出现很多新的颌面部手术方式。超级显微外科在颌面头颈部的应用还处于初期阶段, 仍有很多困难需要克服, 有很多技术难题需要深入研究。超级显微外科不仅是一种先进的技术更是一种先进的理念, 有望或正在口腔颌面部整复领域展现其应用价值。本文就超级显微外科技术及理念在颌面部整复中应用的现状进行综述, 并对其应用前景进行展望。

Supermicrosurgery is a hot topic in the field of microsurgery and reconstruction.The core concept of supermicrosurgery is precision and minimally invasive,which coincides with the concept of maxillofacial reconstruction.Oral and maxillofacial regions play an important role in aesthetics and function,and the structure of oral and maxillofacial tissues is complex.Various types of flaps,especially vascularised free flaps,are required for the repair of various complex maxillofacial defects.However,at present,conventional microsurgery does meet the requirement of mandibular reconstruction in special cases.Super microsurgical technique can further supplement the deficiency of conventional methods of repair and reconstruction in maxillofacial reconstruction.Under the guidance,many new methods of maxillofacial surgery have inevitably emerged.The application of supermicrosurgery in maxillofacial head and neck is still in its early stage,and there are still many difficulties to overcome and many technical issues to be furtherresolved.Supermicrosurgery is not only an advanced technique,but also an advanced concept in surgery.Supermicrosurgery is expected to show its clinical value in oral and maxillofacial reconstruction.In this paper,the application of supermicrosurgery in maxillofacial reconstruction is reviewed and its application prospect is prospected.