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舌、口底等口腔内肿瘤切除后的口腔再造,迄今为止不仅常伴有唾液分泌,放疗组织血运不良,下颌骨和颈动脉暴露等问题。而且尚有创面难愈合、术后咽下、语言功能等一系列难以解决的问题。本文报告微血管吻合游离小肠用于9例口腔内肿瘤切除术后的口腔再造。小肠薄而柔软不同于皮瓣,很少形成瘢痕,所以术后咽下、语言机能良好。无明显缺点,是最理想的口腔再造法。手术方法:在气管切开经鼻插管全麻下,先切除肿瘤并做必要的颈淋巴结清扫术。温热保存颈部用于微血管吻合的受体静脉。剥
Oral reconstructions after resection of the oral cavity, such as the tongue and the floor of the mouth, have hitherto not only been accompanied by salivary secretion, poor blood supply to radiotherapy tissues, and exposure of the mandible and the carotid artery. And there are still a series of difficult problems such as wound healing, postoperative swallowing, language function and so on. This article reports the use of microvascular anastomotic free small intestine for oral reconstruction in 9 patients after oral resection of the tumor. Thin and soft intestinal is different from the flap, scar formation, so swallowed after surgery, the language function is good. No obvious shortcomings, is the best method of oral reconstruction. Surgical methods: Tracheotomy nasal intubation general anesthesia, first remove the tumor and make the necessary cervical lymph node dissection. Warm preservation of the neck for microvascular anastomosis of the recipient vein. peel