论文部分内容阅读
目的:探讨下颌骨肌瓣联合面颈胸旋转皮瓣修复下颌骨放射性骨坏死清创术后下颌骨合并颊部软组织缺损的效果。方法:采用下颌骨肌瓣联合面颈胸旋转皮瓣修复6例因难治性下颌骨放射性骨坏死清创术后缺损。结果:应用下颌骨肌瓣联合面颈胸旋转皮瓣修复下颌骨放射性骨坏死清创术后缺损,所有皮瓣均存活良好,未出现供区并发症。所有患者语言、吞咽功能良好,面部外形满意。随访16～24个月,平均20.6个月,患者病情均无复发。结论:下颌骨肌瓣联合面颈胸旋转皮瓣制备简单、快速,适合同期修复下颌骨放射性骨坏死清创术后下颌骨“L”形缺损合并颊部软组织缺损。
Objective: To investigate the effect of mandibular flap combined with face-and-flank revolving flaps in repairing mandibular combined cheek soft tissue defects after mandibular radiofrequency osteonecrosis. Methods: 6 cases of mandibular radiological osteonecrosis of the mandible were repaired by mandibular flap combined with facial and cervical rotation flap. Results: The mandibular bone flap combined with face-and-neck rotation flap was used to repair the postoperative defect of mandibular radiofrequency osteonecrosis. All the flaps survived well without complications of donor site. All patient languages, swallowing function well, facial appearance satisfied. All cases were followed up for 16-24 months with an average of 20.6 months. All patients had no recurrence. CONCLUSION: The mandibular and musculocutaneous flap is a simple, rapid and suitable method for the repair of mandibular bone “L” -shaped defect combined with buccal soft tissue defect after simultaneous debridement of mandibular radiofrequency osteonecrosis.