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目的 :总结以面动脉下端为蒂的鼻唇沟皮瓣转移修复口腔癌术后软组织缺损的经验。方法 :口腔鳞癌术后软组织缺损10例,其中口底6例,舌缘3例,下牙龈1例,采用以面动脉下端为蒂的鼻唇沟皮瓣进行修复。结果:10例患者,口腔、面部等创口Ⅰ期愈合,皮瓣成活率100%。随访6个月~3年,无肿瘤复发或淋巴结转移,外观形态满意,语言与咀嚼等生理功能良好,面部取瓣区无明显畸形。结论:以面动脉下端为蒂的鼻唇沟皮瓣与口腔下部(口底、舌腹、下颌牙龈)缺损区邻近,皮瓣取材范围增大,移位距离延长,活动度更灵活,可用于修复大面积的口腔癌术后缺损。具有血供丰富、成活率高的优点,尤其适用于年长患者。
OBJECTIVE: To summarize the experience of repairing postoperative soft tissue defects of oral carcinoma with the transfer of the nasolabial flap pedicled with the lower facial artery. Methods: Ten cases of oral squamous cell carcinoma were treated with soft tissue defect, including 6 cases of mouth bottom, 3 cases of tongue margin and 1 case of lower gums. The nasolabial flap pedicled with the inferior facial artery was used for repair. Results: In 10 patients, the mouth, face and other wounds were healed at first stage and the flap survival rate was 100%. Followed up for 6 months to 3 years, no tumor recurrence or lymph node metastasis, the appearance of morphology, language and chewing good physiological function, facial deformity without flap area. CONCLUSIONS: The nasolabial fold flap pedicled at the lower extremity of the facial artery is adjacent to the defect in the lower part of the oral cavity (mouth, tongue, jaw, gums). The area of the flap is increased, the displacement distance is extended and the mobility is more flexible. Repair large area of oral cancer postoperative defect. Has the advantages of rich blood supply, high survival rate, especially for elderly patients.