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目的观察无覆盖带蒂颊脂垫组织瓣在口腔黏膜缺损修复中的临床应用效果。方法口腔组织病变切除或扩大切除术后,用无覆盖带蒂颊脂垫移植修复口腔黏膜缺损,对其愈后进行观察。结果本组13例,12例4～6周后颊脂垫完全上皮化,6个月后与正常黏膜类似,1例远端部分感染、坏死。其中1例轻度张口受限,1例中度张口受限,1例面颊凹陷。结论带蒂颊脂垫瓣血运丰富,抗感染能力较强,成活率较高,供区和受区切口隐蔽、美观。但带蒂颊脂垫瓣修复口腔组织有其局限性,对于较大的组织缺损不宜选择。
Objective To observe the clinical effect of uncoated buccal fat pad tissue flap in repairing oral mucosa defect. Methods After oral mucosa resection or expanded resection, oral mucosa defect was repaired with the uncovered pedicle buccal fat pad, and the prognosis was observed. Results The group of 13 cases, 12 cases 4 to 6 weeks after complete buccal fat pad epithelialization, 6 months after normal mucosa similar to one case of distal part of the infection and necrosis. One case of mild mouth restriction, one case of moderate mouth restriction, one case of cheek depression. Conclusions The pedicled buccal fat pad flap is rich in blood supply, strong in anti-infective ability and high survival rate, and is concealed and beautiful for the incision in the area and the area. However, pediatric buccal fat pad flap repair its limitations, should not be selected for larger tissue defects.