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目的 口腔颌面部恶性肿瘤根治术后导致的功能障碍给患者带来了生活中的不便,颜面部的畸形使患者对生存丧失勇气。过去国内外学者采用胸大肌等带蒂或游离移植术来修复创面,但终因手术较为复杂等使推广应用受到某些限制。为寻找简单实用的修复方法,我科使用颞肌瓣修复用口腔颌面部恶性肿瘤术后造成的颌面畸形。方法 对12例口腔恶性肿瘤患者,实行肿瘤切除后颞肌瓣即刻修复。结果 全部病例转移修复的颞肌瓣均存活,伤口痊愈,口腔内洞穿缺损消灭,颞肌瓣表面在术后二周出现粘膜化。结论 颞肌瓣修复口腔颌面部恶性肿瘤术后引起的畸形是可行的,且其方法简单易操作,对患者创伤小,转移皮瓣存活率高。
Objectives The dysfunction caused by radical surgery of oral and maxillofacial malignancies brings inconvenience to the patient. The deformity of the face causes the patient to lose courage in survival. In the past, scholars at home and abroad used pectoralis major and other pedicles or free grafts to repair wounds, but in the end, due to the complexity of the operation, the promotion and application were limited. In order to find a simple and practical repair method, our department uses the diaphragm flap to repair the maxillofacial deformity caused by postoperative oral and maxillofacial malignancy. Methods 12 patients with oral malignant tumors were treated with immediate resection of the diaphragmatic flap after tumor resection. RESULTS: All the cases were repaired and the diaphragm flaps survived. The wounds were healed, and the holes in the mouth were destroyed. The surface of diaphragm flaps appeared mucosal after two weeks. Conclusions It is feasible to repair the malformation of oral and maxillofacial malignancy after diaphragmatic flap repair. The method is simple and easy to operate. It has little trauma to the patient and the survival rate of the metastatic flap is high.