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口腔颌面外科杂志
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口腔颌面外科杂志  2017, Vol. 27 Issue (4): 282-284    DOI: doi: 10.3969/j.issn.1005-4979.2017.04.012
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胸大肌肌皮瓣在口腔颌面部恶性肿瘤术后缺损修复中的应用
郭建1,  蒋子超2,  冯晓东3
河南省南阳市口腔医院口腔颌面外科,河南   南阳   473013
Pectoralis Major Myocutaneous Flap for the Reconstruction of Defects after
Ablative Surgery of Maxillofacial Malignancies
 GUO  Jian-1,   Jiang-Zi-Chao-2,   Feng-Xiao-Dong-3
Department of Oral and Maxillofacial Surgery, Nanyang Municipal  Stomatological Hospital,
Nanyang 473013, Henan Province, China
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摘要 目的:探讨胸大肌肌皮瓣在口腔颌面部恶性肿瘤术后缺损修复中的应用及临床效果。方法:对2010—2016间采用胸大肌肌皮瓣修复口腔颌面部缺损的91例病人,进行回顾性分析。结果:81例病人皮瓣完全成活,6例大部分成活(≥70%),其术后口腔生理功能恢复良好,取得满意的效果(95.60%)。结论:对于口腔颌面部恶性肿瘤术后缺损面积大、缺损组织量多的病人,胸大肌肌皮瓣仍是较为理想的修复手段之一。
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郭建1
蒋子超2
冯晓东3
关键词胸大肌肌皮瓣;     口腔颌面部恶性肿瘤;     大面积组织缺损     
AbstractObjective:  To evaluate the clinical outcome of pectoralis major myocutaneous flap.in oral and maxillofacial reconstruction after ablative surgery of malignant tumor. Methods: The clinical date of 91 cases underwent  pectoralis major myocutaneous flap procedures for the immediate reconstruction of defects after resection of oral or maxillofacial malignant tumors from 2010 to 2016 were analyzed retrospectively. Results:  The pectoralis major myocutaneous flap in  81 cases survived completely, 6 cases survived mostly(≥70%), and the clinical effect were satisfactory(95.60%). Conclusion: The pectoralis major myocutaneous flap is relatively idea for reconstruction of defects after ablative surgery in oral and maxillofacial malignancies.
Key words pectoralis major myocutaneous flap   oral and maxillofacial    malignancy   large tissue defect   
通讯作者: 郭建,主治医师.     E-mail: E-mail: Guoj_000@126.com
作者简介: 郭建(1974—),男,河南省唐河县人,主治医师,硕士
引用本文:   
郭建1, 蒋子超2, 冯晓东3. 胸大肌肌皮瓣在口腔颌面部恶性肿瘤术后缺损修复中的应用[J]. 口腔颌面外科杂志, 2017, 27(4): 282-284.
GUO Jian-1, Jiang-Zi-Chao-2, Feng-Xiao-Dong-3. Pectoralis Major Myocutaneous Flap for the Reconstruction of Defects after
Ablative Surgery of Maxillofacial Malignancies[J]. Journal of Oral and Maxillofacial Surgery, 2017, 27(4): 282-284.
 
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[1] 夏 超, 谭颖徽. 影响上蒂垂直型颈阔肌肌皮瓣成活因素的临床分析[J]. 口腔颌面外科杂志, 2014, 24(3): 195-.
 

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