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本文对２１例上颌骨切除术后的缺损进行即刻整复。行上颌骨部分切除１４例，上颌骨次全切除７例，其中有１０例分别连同颊、软腭、下颌骨等邻近组织的扩大切除。采用颞肌瓣整复６例、带蒂胸大肌皮瓣６例、游离前臂皮瓣５例、腭部岛状粘骨膜瓣４例。结果：组织瓣全部成活１９例，全坏死和部分坏死各１例。经随访，患者术后语言及吞咽功能正常，无口腔上颌窦瘘及口鼻瘘，进食时无呛咳，面中部畸形不明显。认为软组织瓣即刻整复上颌骨切除术后的缺损能良好隔离口鼻腔，恢复一定的生理功能和面部外形，为上颌骨缺损骨性结构的重建积累了经验。
In this paper, 21 cases of maxillary excision defect immediately after the repair. Forty cases underwent maxillary partial resection and seven cases underwent total subtotal maxillary resection. Ten cases were excised with adjacent tissues such as buccal, soft palate and mandible respectively. Six cases were treated with temporal muscle flap, six cases with pedicled pectoralis major muscle flap, five cases with free forearm flap and four with palatal island mucoperiosteal flap. Results: Tissue flap all survived 19 cases, all necrosis and partial necrosis in 1 case. After follow-up, patients with normal language and swallowing function, no oral maxillary sinus fistula and mouth and nose and fistula, no cough when eating, midface deformity was not obvious. It is concluded that soft tissue flap reconstruction of the defect after maxillary resection can well isolate the mouth and nose and restore certain physiological functions and facial features, which has accumulated experience for the reconstruction of the bony structure of maxillary defects.