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目的 :评价应用下颌下区面动脉岛状肌皮瓣修复口腔颌面部组织缺损的临床效果。方法 :选择2007年3月—2015年8月期间应用下颌下区面动脉岛状肌皮瓣修复96例口腔颌面部组织缺损的临床资料作回顾分析,其中顺行面动脉瓣46例,逆行面动脉瓣50例。观察患者近、远期临床效果,包括受区缺损情况、组织瓣成活情况、外形和功能,以及术后并发症。结果:下颌下区面动脉岛状肌皮瓣总成功率为96.9%(93/96),顺行皮瓣成功率为95.7%(44/46),逆行皮瓣成功率为98.0%(49/50)。术后随访0.5~6 a,肌皮瓣受区外观及质地良好,语言及吞咽功能理想,供区瘢痕隐蔽;1例患者出现肿瘤复发;3例出现对侧颈淋巴结转移。结论:下颌下区面动脉岛状肌皮瓣可作为颌面部中、小型缺损修复较理想的选择,操作简单易行,其中逆行面动脉岛状肌皮瓣皮瓣不仅可修复颌面部中上1/3的组织缺损,且成活率高,美容效果理想。
Objective: To evaluate the clinical effect of submandibular artery dorsalis pedis muscle flap for the repair of oral and maxillofacial tissue defects. Methods: From March 2007 to August 2015, 96 cases of oral and maxillofacial defects were treated by submaxillary articular island myocutaneous flap for retrospective analysis. Among them, 46 cases had anterograde aortic valve retrograde 50 cases of facial artery valve. Observe the short-term and long-term clinical effects of the patients, including the regional defect, survival of the flap, shape and function, and postoperative complications. Results: The success rate of parasellar flap was 96.9% (93/96), that of paraformal flap was 95.7% (44/46), and that of retrograde flap was 98.0% (49 / 50). The follow-up of 0.5-6 a was followed up. The musculocutaneous flaps showed good appearance and good texture, with satisfactory language and swallowing function. The scar was hidden in the donor area. One patient developed tumor recurrence and three patients had contralateral cervical lymph node metastasis. CONCLUSION: The submaxillary articular island myocutaneous flap can be used as a medium and small defect repair in maxillofacial region. It is simple and easy to operate. The flap of retrograde arterial island myocutaneous flap can not only repair the maxillofacial region On the 1/3 of tissue defects, and high survival rate, cosmetic effect is ideal.