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目的探讨腭部岛状瓣修复软腭及磨牙后区缺损的临床效果。方法 20例肿瘤切除术后软腭及磨牙后区缺损患者,均给予腭部岛状瓣修复治疗,术后随访观察切口愈合程度、腭部岛状瓣黏膜恢复情况以及张口程度。结果术后随访6个月,均达一期愈合标准,腭部岛状瓣修复区黏膜与对侧正常黏膜的层次、颜色、弹性、质地、光滑度一致,术后无张口受限等严重并发症发生。结论腭部岛状瓣修复治疗软腭及磨牙后区缺损疗效确切,皮瓣制备方便。
Objective To investigate the clinical effect of palatal island flap in the repair of soft palate and posterior molar defect. Methods Twenty cases of soft palate and posterior molar defect were treated with palatal island flap repair. The degree of incision healing, palatal island flap mucosa recovery and mouth opening were observed after operation. Results The patients were followed up for 6 months and achieved the first-degree healing standard. The level, color, elasticity, texture and smoothness of the mucosa and contralateral normal mucosa in the repaired area of the palatal flap were the same, with no serious postoperative complications such as mouth opening restriction Disease occurs. Conclusion The palatal island flap is effective in treating soft palate and molars posterior defect, and the flap is easy to prepare.