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目的:探讨颞肌筋膜瓣(TMF)在修复颅面部肿瘤术后缺损中的应用。方法:根据缺损大小和部位 设计TMF,对10例颅面部肿瘤术后缺损患者进行修复,其中3例修复颅底缺损,5例修复口咽部缺损,2例修复 眶。结果:随访8～50个月,10例TMF全部成活;修复颅底者,未出现颅内感染及脑脊液漏;修复口咽者,语言、 吞咽功能无明显障碍;修复眶者解剖形态基本恢复,外观满意。结论:TMF是修复颅面部肿瘤术后缺损的理想选 择。
Objective: To investigate the application of temporal muscle fascia flap (TMF) in the repair of postoperative craniofacial tumors. Methods: Ten patients with craniofacial tumor were treated with TMF according to the size and location of the defect. Three patients were repaired with skull base defect, five with oropharyngeal defect and two with orbital repair. Results: All the 10 cases of TMF survived at 8 to 50 months of follow-up. There was no intracranial infection and cerebrospinal fluid leakage in the repaired skull base. There was no obvious obstacle to the oropharyngeal function and swallowing function. The anatomy of the orbital body recovered basically, Satisfactory appearance. Conclusion: TMF is an ideal choice for the repair of postoperative craniofacial tumors.