面颊缺损分类及修复方法选择(附223例报告)

Classification of cheek defects and choice of repair method:A report of 223 cases

面颊缺损的修复历史悠久、方法很多、效果不一,尚缺公认的最佳方案,原因是面颊缺损的范围、形状具有多样性,又缺乏明确分类。作者总结1964～1090年223例,根据面颊缺损范围及程度提出Ⅴ类分类法,并与之相联系的5种修复方法,总成功率92.83％。讨论了不同类型缺损的特点、手术适应证及修复方法的选择。认为这Ⅴ类5法便于对面颊缺损的统一认识,便于适应证、修复方法的选择和治疗效果的对比评价。

Surgery to repair cheek defect has been performed for a long time but no method can be considered as the best and be universally applicable since the shape and size of cheek defect are variable and no reasonable classification is established for cheek defect.Two hundred and twenty-three cases of cheek defect were collected in a 26-year period from 1964 to 1990.According to the size and degree of the cheek defects,a classification into 5 categories and corresponding 5 repair methods were established.The total success rate war 92.83%.The clinical features of the defects,the indications of operation,and the choice of repair methods for different types of defects were discussed.It is concluded that our classification of cheek defects into 5 categories is helpful to differentiate the operative indications,to choose the suitable method of repair and to evaluate the.therapeutic efficacy.