带蒂颊脂垫在口腔肿瘤术后组织缺损即刻修复中的效果评价

doi:10.19438/j.cjoms.2019.04.018

中国口腔颌面外科杂志 ›› 2019, Vol. 17 ›› Issue (4): 364-367.doi: 10.19438/j.cjoms.2019.04.018

带蒂颊脂垫在口腔肿瘤术后组织缺损即刻修复中的效果评价

祝华珺, 肖皖抒, 汤晶, 葛自力

苏州大学附属第一医院口腔科,江苏苏州 215006

收稿日期:2019-04-10 修回日期:2019-06-03 出版日期:2019-07-20 发布日期:2019-08-12
通讯作者: 葛自力,E-mail：gezl@163.com
作者简介:祝华珺（1984-）,女,硕士,副主任医师,E-mail：41011704@qq.com
基金资助:
江苏省卫生厅指导性科研课题（Z201-404）

Clinical application of the pedicled buccal fat pad flap in immediate reconstruction of oral tissue defects during oral surgery

ZHU Hua-jun, XIAO Wan-shu, TANG Jing, GE Zi-li

Department of Stomatology, the First Affiliated Hospital of Soochow University.Suzhou 215006, Jiangsu Province, China

Received:2019-04-10 Revised:2019-06-03 Online:2019-07-20 Published:2019-08-12

摘要/Abstract

摘要： 目的探讨带蒂颊脂垫瓣在口腔肿瘤术后组织缺损即刻修复中的应用效果及其适应证。方法选择86例口腔肿瘤患者,其中,男58例,女28例,平均年龄50岁。采用带蒂颊脂垫移植即刻修复肿瘤切除术后缺损,观察术后效果和并发症情况。结果所有病例中移植皮瓣均存活,颊脂垫瓣在9~10周内顺利愈合,未覆盖的表面形成上皮化,与正常黏膜相似。随访3个月~3年,所有患者均无明显功能障碍和面部畸形,并发症仅为3.5%。结论带蒂颊脂垫是修复口腔组织缺损的理想材料,并发症少,是口腔肿瘤术后组织缺损即刻修复的可行选择。

关键词: 带蒂颊脂垫, 修复, 组织缺损

Abstract: PURPOSE: The aim of this study was to investigate the effect and indication of the application of pedicled buccal fat pad flap for oral tissue defects during oral surgery. Methods: Eight-six cases (58 males, 28 females; mean age: 50 years) suffering from oral tumor were included in this study. The defect after tumor resection was immediately repaired by pedicled buccal fat pad transplantation. The effect and postoperative complications were observed. Results: All cases underwent uneventful healing with a surviving graft. The buccal fat pad healed in about 9 to 10 weeks and its uncovered surface became epithelialized with similar feature to the normal mucosa. At a follow-up of 3 months to 3 years, a good outcome was obtained with minimal malfunction and facial deformity. Complications were only 3.5%. Conclusions: The pedicled buccal fat pad is ideal material for repair. It has fewer complications and is a viable option for immediate reconstruction of oral tissue defects during oral surgery.

Key words: Buccal fat pad, Reconstruction, Tissue defect

中图分类号:

R782.2

祝华珺, 肖皖抒, 汤晶, 葛自力. 带蒂颊脂垫在口腔肿瘤术后组织缺损即刻修复中的效果评价[J]. 中国口腔颌面外科杂志, 2019, 17(4): 364-367.

ZHU Hua-jun, XIAO Wan-shu, TANG Jing, GE Zi-li. Clinical application of the pedicled buccal fat pad flap in immediate reconstruction of oral tissue defects during oral surgery[J]. China J Oral Maxillofac Surg, 2019, 17(4): 364-367.

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带蒂颊脂垫在口腔肿瘤术后组织缺损即刻修复中的效果评价

Clinical application of the pedicled buccal fat pad flap in immediate reconstruction of oral tissue defects during oral surgery

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