双皮岛游离前臂皮瓣在腭部大型洞穿性缺损修复中的应用

宋梓维; 伋琳; 周航宇; 张磊; 夏德林

doi:10.13201/j.issn.1001-1781.2019.12.012

双皮岛游离前臂皮瓣在腭部大型洞穿性缺损修复中的应用

- 1. 西南医科大学附属口腔医院口腔颌面外科(四川泸州, 646000);
- 2. 西南医科大学附属医院口腔颌面外科

详细信息

通讯作者: 夏德林,E-mail:xiadeln@163.com

中图分类号: R782.2

收稿日期: 2019-06-14

Application of double skin island free forearm flap in the repair of large perforating defect of palate

- 1 Department of Oral and Maxillofacial Surgery, the Affiliated Stomatological Hospital of Southwest Medical University, Luzhou, 646000, China;
- 2 Department of Oral and Maxillofacial Surgery, the Affiliated Hospital of Southwest Medical University

More Information

Corresponding author: XIA Delin, E-mail: xiadeln@163.com

Received Date: 14 June 2019

摘要

摘要: 目的:探讨双皮岛游离前臂皮瓣在修复腭部大型洞穿性缺损中的应用价值。方法:应用双皮岛游离前臂皮瓣修复6例因口腔恶性肿瘤导致腭部大型洞穿性缺损患者。术前通过Allen实验及超声多普勒检查判断前臂血管的情况。结果:6例双皮岛游离前臂皮瓣均存活,随访3~24个月,患者进食功能正常,吞咽无鼻腔反流,有轻中度鼻音,对术后效果及生活质量满意。结论:双皮岛游离前臂皮瓣修复腭部大型洞穿性缺损方法可靠,形态功能满意,效果良好。
- 双皮岛前臂皮瓣 /
- 腭部缺损 /
- 修复外科手术
Abstract: Objective: To explore the value of free forearm flap with double skin island in repairing large perforating defect of palate. Method: The free forearm flap with double skin island was used to repair 6 cases of large perforating palatal defect due to oral malignant tumor. Preoperative Allen test and ultrasound doppler examination were used to judge the forearm vessels. Result: All the free forearm flap with double skin island survived in 6 cases, followed up for 3 months to 24 months, the patients ate normally, swallowing without nasal regurgitation. The patients had mild to moderate nasal sounds, and the patients were satisfied with the effect of operation and the quality of life.Conclusion: The double skin island free forearm flap is a reliable method for repairing large perforating defect of palate, with satisfactory morphological function and good effect.
- double skin island forearm flap /
- palatal defect /
- reconstructive surgical procedures

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参考文献(22)

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