颏下岛状瓣修复口腔颌面部缺损专家共识

doi:10.19438/j.cjoms.2021.05.001

中国口腔颌面外科杂志 ›› 2021, Vol. 19 ›› Issue (5): 385-391.doi: 10.19438/j.cjoms.2021.05.001

颏下岛状瓣修复口腔颌面部缺损专家共识

陈传俊^1,*, 陈伟良^2,*, 孙长伏³, 何悦⁴, 蒋灿华⁵, 彭歆⁶, 尚政军⁷, 韩正学⁸, 李劲松², 侯劲松⁹, 林李嵩¹⁰, 韩新光¹¹, 魏建华¹², 王志勇¹³, 吴煜农¹⁴, 郑家伟⁴, 李龙江¹⁵, 王慧明¹⁶, 李祖兵⁷, 郭传瑸⁶, 杨驰⁴, 石冰¹⁵, 张志愿⁴

1.中国科学技术大学附属第一医院口腔颌面外科,安徽合肥 230001;
2.中山大学孙逸仙纪念医院口腔颌面外科,广东广州 510120;
3.中国医科大学附属口腔医院口腔颌面-头颈外科,辽宁沈阳 110002;
4.上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科,上海 200011;
5.中南大学湘雅医院口腔颌面外科,湖南长沙 410008;
6.北京大学口腔医学院口腔颌面外科,北京 100081;
7.武汉大学口腔医院口腔颌面外科,湖北武汉 430070;
8.首都医科大学附属北京口腔医院口腔颌面-头颈肿瘤科,北京 100050;
9.中山大学光华口腔医学院附属口腔医院口腔颌面外科,广东广州 510055;
10.福建医科大学第一附属医院口腔颌面外科,福建福州 350005;
11.郑州大学附属第一医院口腔颌面外科,河南郑州 450000;
12.空军军医大学附属口腔医院口腔颌面外科,陕西西安 710032;
13.南京大学医学院附属口腔医院口腔颌面外科,江苏南京 210008;
14.南京医科大学附属口腔医院口腔颌面外科,江苏南京 210029;
15.四川大学华西口腔医院头颈肿瘤外科,四川成都 610041;
16.浙江大学口腔医学院,浙江大学医学院附属第一医院口腔颌面外科,浙江杭州 310006

收稿日期:2021-05-17 修回日期:2021-07-12 出版日期:2021-09-20 发布日期:2021-10-20
通讯作者: 陈传俊,E-mail:ccj6318@sina.com;陈伟良,E-mail:drchen@vip.163.com。^*共同通信作者
作者简介:陈传俊（1963-）,男,博士,教授、主任医师

Expert consensus on application of submental island flap in oromaxillofacial head and neck defect reconstruction

CHEN Chuan-jun¹, CHEN Wei-liang², SUN Chang-fu³, HE Yue⁴, JIANG Can-hua⁵, PENG Xin⁶, SHANG Zheng-jun⁷, HAN Zheng-xue⁸, LI Jin-song², HOU Jin-song⁹, LIN Li-song¹⁰, HAN Xin-guang¹¹, WEI Jian-hua¹², WANG Zhi-yong¹³, WU Yu-nong¹⁴, ZHENG Jia-wei⁴, LI Long-jiang¹⁵, WANG Hui-ming¹⁶, LI Zu-bing⁷, GUO Chuan-bin⁶, YANG Chi⁴, SHI Bing¹⁵, ZHANG Zhi-yuan⁴

1. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of University of Science and Technology of China. Hefei 230001, Anhui Province;
2. Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University. Guangzhou 510120, Guangdong Province;
3. Department of Oromaxillofacial Head and Neck Surgery, School and Hospital of Stomatology, China Medical University. Shenyang 110001, Liaoning Province;
4. Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
5. Department of Oral and Maxillofacial Surgery, Xiangya Hospital Central South University. Changsha 410008, Hunan Province;
6. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology. Beijing 100081;
7. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Wuhan University. Wuhan 430070, Hubei Province;
8. Department of Oral and Maxillofacial Head and Neck Oncology, Beijing Stomatological Hospital, Capital Medical University. Beijing 100050;
9. Department of Oral and Maxillofacial Surgery, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat -sen University. Guangzhou 510055, Guangdong Province;
10. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University. Fuzhou 350005,Fujian Province;
11. Department of Oral and Maxillofacial Surgery, First Affiliated Hospital of Zhengzhou University. Zhengzhou 450052, Henan Province;
12. Department of Oral and Maxillofacial Surgery, School of Stomatology, Air Force Military Medical University. Xi’an 71003, Shaanxi Province;
13. Department of Oral and Maxillofacial Surgery, Medical School of Nanjing University. Nanjing 210008, Jiangsu Province;
14. Department of Oral and Maxillofacial Surgery, Affiliated Stomatological Hospital of Nanjing Medical University. Nanjing 210029, Jiangsu Province;
15. Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology. Chengdu 610041, Sichuan Province;
16. Department of Oral and Maxillofacial Surgery, First Affiliated Hospital of Zhejiang University of Medicine, School of Stomatology, Zhejiang University. Hangzhou 310006, Zhejiang Province, China

Received:2021-05-17 Revised:2021-07-12 Online:2021-09-20 Published:2021-10-20

摘要/Abstract

摘要： 颏下岛状瓣（submental island flap, SMIF）是面动脉分支颏下动脉恒定供血的轴型皮瓣,与口腔颌面部缺损区相邻,其质地、色泽与头面部相似,血运充分。该组织瓣制备较简单,且成活率高,适用于修复口腔颌面部中型缺损。然而,国内外对于SMIF的应用仍然存在争议,主要集中在颈淋巴转移患者使用该皮瓣的肿瘤安全性、皮瓣的制备方法等方面。为统一和规范SMIF在口腔颌面-头颈部缺损修复中的应用,本文集中国内多家医学院校口腔颌面外科专家的智慧,达成专家共识,供同道参考。

关键词: 颏下岛状瓣, 缺损, 口腔颌面部, 修复重建, 专家共识

Abstract: Submental island flap (SMIF) is an axial flap that receives its blood supply from the submental artery, a branch of the facial artery. It is in close proximity with many oral and maxillofacial regions, and provides a good texture and color match. The flap is easy to prepare and suitable for repairing medium-sized defects of the oral and maxillofacial region with high survival rates. However, there are still controversies about the application of submental island flap both at home and abroad, mainly focusing on the oncological safety of submental island flap for patients with cervical lymph node metastasis and the preparation method of the flap. In order to unify and standardize the application of submental island flap in repair of oral and maxillofacial head and neck defects, this paper focuses on the collective wisdom of experts in oral and maxillofacial surgery of many medical colleges in China, and reaches an expert consensus, so as to guide the clinical application of submental island flap.

Key words: Submnental island flap, Defect, Oral and maxillofacial region, Reconstruction, Expert consensus

中图分类号:

R782.2

陈传俊, 陈伟良, 孙长伏, 何悦, 蒋灿华, 彭歆, 尚政军, 韩正学, 李劲松, 侯劲松, 林李嵩, 韩新光, 魏建华, 王志勇, 吴煜农, 郑家伟, 李龙江, 王慧明, 李祖兵, 郭传瑸, 杨驰, 石冰, 张志愿. 颏下岛状瓣修复口腔颌面部缺损专家共识[J]. 中国口腔颌面外科杂志, 2021, 19(5): 385-391.

CHEN Chuan-jun, CHEN Wei-liang, SUN Chang-fu, HE Yue, JIANG Can-hua, PENG Xin, SHANG Zheng-jun, HAN Zheng-xue, LI Jin-song, HOU Jin-song, LIN Li-song, HAN Xin-guang, WEI Jian-hua, WANG Zhi-yong, WU Yu-nong, ZHENG Jia-wei, LI Long-jiang, WANG Hui-ming, LI Zu-bing, GUO Chuan-bin, YANG Chi, SHI Bing, ZHANG Zhi-yuan. Expert consensus on application of submental island flap in oromaxillofacial head and neck defect reconstruction[J]. China J Oral Maxillofac Surg, 2021, 19(5): 385-391.

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颏下岛状瓣修复口腔颌面部缺损专家共识

Expert consensus on application of submental island flap in oromaxillofacial head and neck defect reconstruction

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