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目的:探讨利用鼻中隔黏骨膜瓣修补眼眶、硬腭及前颅底部分缺损的效果。方法:对12例鼻腔鼻窦肿瘤患者根据肿瘤性质和病变范围,采用经鼻侧切开上颌骨部分截除或全部截除加筛窦切除术。结果:12例患者中,筛骨水平板破坏5例,筛顶破坏2例,眶顶壁破坏1例,眶内壁及眶下壁破坏各1例,硬腭破坏缺损2例,均在手术切除肿瘤后一期修补成功。无手术死亡、脑脊液漏、颅内感染等其他严重并发症。结论:在鼻腔、鼻窦肿瘤的手术治疗中,当眼眶、硬腭及前颅底骨质受到肿瘤侵蚀,切除肿瘤后形成部分缺损时,可转移适当的鼻中隔黏骨膜瓣一期修补局部缺损。
Objective: To explore the use of nasal septum mucoperiosteal flap to repair the defects of the orbit, the hard palate and the anterior skull base. Methods: Twelve patients with nasal sinus tumors underwent resection of the maxilla or all the excision plus ethmoidal resection according to the nature of the tumor and the extent of the lesion. Results: Of the 12 patients, 5 cases of ethmoid bone plate destruction, 2 cases of screen ceiling destruction, 1 case of orbital roof destruction, 1 case of orbital wall and inferior orbital wall destruction and 2 cases of hard palate destruction and defect were all undergone surgical resection of tumor After a successful patch. No operative death, cerebrospinal fluid leakage, intracranial infection and other serious complications. Conclusion: In the surgical treatment of nasal and sinus tumors, when the orbital, palate and anterior skull base bone erosion by tumor, tumor excision after the formation of partial defect, the appropriate nasal septum mucoperiosteal flap can be repaired a local defect.